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� CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />. � UTILITIES DIVISION <br />. �' � �`�a_� <br />���-_- � � � � <br />UTILITY WORK ORDER <br />� <br />Date: _'�� 5 ti _, �1 WATER <br />��O SEWER <br />❑ STORM <br />$��7 //�� St S� <br />Location: <br />W.O. Instructions: <br />�� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />J RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />� DITCH <br />�i,-,�� ...�._ �� <br />;093 <br />W.O. No. <br />Acct. No. 1 � � � � y <br />Complaint No. <br />�J� MAINTENANCE <br />CO O� ERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />�/' B � C �roSS � "`'q � <br />ESTIMATED <br />Labor (hours) <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL 7 .�� <br />Labor (hours) . <br />Mzterial (cosq . <br />Equipment (cost) : <br />/,. , ., �, .. _ _� <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOF LABOR TIME SLIPS. IT[MIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completlon(Date): N���"� 1 Cost:3 <br />Charge Account Number. Charge Cost To �Name): <br />Addr�'�;; _ _Zip: _ <br />Invoice No.:. _ ____Amount:3__ — _ _—Date: _ <br />