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4 <br />� CITY OF EVERETT � � y 7 <br />UTILITY WORK ORDER <br />i <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />�i' 8� �TEL . �TuMC�U%� <br />:, ,', <br />� �, � , <br />� <br />�% <br />�� • <br />Date: �li' �p WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />� <br />0 <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />St— <br />SEHVICE <br />MAIN <br />PUMP STATION <br />TREATMENT <br />RESERVOIR <br />VALVE <br />MAN HOLE <br />CATCH BASIN <br />DITCH <br />W.O. No. <br />Acct. No. b7� � �'�% <br />Complaint No. <br />F� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />• . �..ri .i t!a ::ii �., <br />. <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cosry : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. _�,,,� .,� • <br />, ...�•::. <br />Completion (Date): � � l� � � �� CosF.$ <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />vse <br />Charge Cost To (Name): <br />� <br />