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UTILITY WORK ORDER <br />Date: WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: Y{x�N 1,0 <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />9p0q <br />i <br />UTILITIES DIVISI N <br />110p, <br />W O No. <br />\\� <br />Acct. No. p �" ) <br />Complaint No. . <br />Id SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />7REATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />❑ <br />MAINTENANCE <br />❑ <br />OPERATION <br />,0 <br />REPAIR <br />❑ <br />CONSTRUCTION <br />ESTIMATED ACTUAL .S 1`7r'/e.S <br />Labor (hours) Labor (hours) <br />Material icost) Material (cost) <br />Equipment (cost) Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITELYIIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): '7 _y� Cost:s <br />Charge Account Number: Charge Cost To (Name): <br />Address: _ <br />Invoice No.: Amount:$ _ <br />ms <br />0 <br />ate: <br />