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CITY OF EVERETT 7077 <br />DEPARTMENT OF PUBLIC WORKS POSTED o- T'UrAM5 Cs <br />UTILITIES DIVISION W.O. No. <br />Acct,No.. I 7'F I q <br />Complaint No. - <br />UTILITY WORK ORDER <br />Date: 3M&q.'j"- <br />WATER <br />SERVICE <br />0 <br />MAINTENANCE <br />❑ <br />❑ <br />SEWER <br />MAIN <br />❑ <br />OPERATION <br />❑ <br />STORM <br />❑ <br />PUMP STATION <br />❑ <br />REPAIR <br />❑ <br />TREATMENT <br />❑ <br />CONSTRUCTION <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />an;7 <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />Location: <br />W.O. Instri <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND —MATERIALS ON REVERSE SIDE. <br />Completion (Date):_ f27 n Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice N <br />Charge Cost To (Name): <br />mount:$ <br />9 <br />