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C�TY OF EVERETT <br />� . DEPARTMENT OF PUBLIC WORKS <br />,y� UTIUTIES DIVISION <br />,�n"' W.O. No. <br />y .. . � <br />: . 7412 <br />�y• �� � 3�2� ' 6I$�Acct No. 1,7 5 I � y <br />UTILITY WORK ORDER , Complaint No. <br />� <br />Date: I—Z 4� i�.�'' � WATER , O' SERVICE �X MAINTENANCE <br />O SEWER ❑ MAIN � OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />��� � ��� /j �/ ❑ TREATMENT ❑ CONSTRUCTION <br />����It� ❑ RESERVOIR <br />❑ VALVE <br />7 MAN HOLE <br />O CATCH BASIN <br />, C7 DITCH <br />Location: <br />W.O. Insiri <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS, ITEk(12E <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. _._,\:���� <br />Completion (Date): �2 "�8"�g Cost:$ <br />Charge Account Number: <br />Address: <br />Charge Cost To (Name): � <br />� <br />Invoice No.: Amount:$ Date: <br />, <br />i <br />