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CITY OF EVERETT <br />DEPARTMENT OF PUBIIC WORKS <br />UTILITY WORK ORDER <br />Date: 2'� 1� WATER <br />❑ SEWEF <br />❑ STORM <br />. <br />o?�i3 �-��� <br />Location: <br />W.O. Instructions: <br />ESTIMATED <br />labor (hours) . <br />Materiel (cost) . <br />Equipment (cost) : <br />26 <br />UTILITIES DIVISION <br />y� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />0 VALVE <br />O MAN HOLE <br />O CATCH BASIN <br />O DITCH <br />Sv Lf-NI <br />C�G <br />ACTUAL <br />�St'sD .=:ummS � <br />j•._ C��;/; � <br />W.O. No. <br />Acct No. —�� 7 S �� g <br />Complaint Na <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />O CONSTRUCTION <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />U1BOR, EQUIPMENT, ANC MATERIALS ON REVERSE SIOE. <br />Completion (Date): � � � 7��� Cost:$ <br />Charge Account Number. <br />Address: <br />Invoic�IVo.: <br />��� <br />Charge Cost To (Name): <br />nt:5 <br />