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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />H 31-1.9 - - <br />UTILITY WORK ORDER <br />Date: P WATER <br />❑ SEWER <br />❑ STORM <br />UTILITIES DIVISION <br />W.O. No. <//TT� �7 <br />Acct. No. (y <br />Complaint No. _ <br />X <br />SERVICE <br />X <br />MAINTENANCE <br />❑ <br />MAIN <br />❑ <br />OPERATION <br />❑ <br />PUMP STATION <br />❑ <br />REPAIR <br />❑ <br />TREATMENT <br />❑ <br />CONSTRUCTION <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />..NO <br />ta}sYir.16 <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />Location: C" ... e& <br />W.O.InstrucIions:l Pol.e)P'rP/r "q,X <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 SLIP.. TE I y <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Comp!etion (Date): . <br />Charge Account Number: <br />Address: <br />Invoice No.:_ <br />1 /85 <br />Charge Cost To (Name): <br />nt: <br />e: <br />