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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />� �(, -z� - 4 <br />�/o �o PosZ7WG <br />UTILITY WORK ORDER <br />: ;° 9070 <br />n • . <br />.4r,ct. No. L � t� � 1 _� <br />Complaint No. <br />Date: �-' S�f U � yyq7ER � SERVICE � MAINTENANCE <br />❑ SEWER ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REQAIR <br />U TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />O DITCH <br />Location: s2 �' ��EAN(�,PST fJd� <br />• . •: E i 1 �f : r ta_ <br />i <br />�' �` . i 1 '' � . ♦ ' <br />. �� " <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Fquipment (cost) : <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />US� i,HARGE ACCOUNT NUMBER BELOW FOR LABOR TIrAE SI_IPS. ITEMI2E <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIQE. <br />Completion (Date): _Z "� — 9�J Cost:� <br />Charge Account Number: <br />Address: <br />Invoice <br />iies <br />Charge Cost To (Name): <br />_Amount: <br />Date: <br />