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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date. 7 1 y_I C — [t / WATER <br />❑ SEWER <br />❑ STORM <br />UTILITIES DIVISION <br />2 Sq <br />1p/ SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />p; 4049 <br />W.O. No. — — <br />Acet No. t �� <br />Complaint No. <br />t{/ MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />Location: <br />W.O. Instructions: �(� 1 1 � i �P.j_7 v r/iL bj! <br />R 1* 1 r'C rr h 7 C i, k T <br />ESTIMATED ACTUAL <br />Labor (hours) Labor (hours) <br />Material (cost) — Material (cost) -- <br />Eauipment (cost) Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date). i1 "�P Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />_ Zip: <br />Address: <br />Invoice No.�_ <br />_Amount:$ -----Date: <br />1/85 <br />