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CITY OF EVERETT , 7 4$9 <br /> DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION yy,0. No. <br /> Acct No. l �� !�� <br /> /�" Complaint No. <br /> UTILITY WORK ORDER <br /> Date: S� �—t� � WATEFi � SERVICE ❑ MAINTENANCE <br /> 0 SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATIUN � REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �O0��---���� <br /> W.O. Instructions: —�P .r� GU'� d O <br /> ESTIMATEO ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material(cost) . Material (cost) . <br /> Equipment (cost) : Equipmant (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. IT.�MIZE <br /> LABOR. EQUIPMENT, AND MATERIALS ON REVERSE SIDE. , ., _�!; :� <br /> Completion (Date): � ` � ' '1 Cost:$ <br /> Charge Acc�unt Number: Charge Cost To (Name): <br /> Address: Z�p� <br /> Invoice No.: Amount:$ Date: <br /> ves <br />