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1 CITY OF EVERETT <br /> DEPARTMENT OF PUBLIC WORKS N° 8554 <br /> UTILITIES DIVISION W.O. No. <br /> Acct. No. z71– <br /> Complaint <br /> 71Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �2 3- ❑ WATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> STORM ❑ PUMP STATION REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> yl� CATCH BASIN <br /> ❑ DITCH <br /> Location: <br /> W.O. Instructions: <br /> ESTIMATED ACTUAL <br /> Labor(hours) Labor (hours) <br /> Material (cost) -- Material(cost) _-- <br /> Equipment (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): -- _ Cost:$ -------- <br /> Charge Account Number: .____---.Charge Cost To (Name). -- <br /> Address -- -- — -- _Zip: -- ---- .. <br /> Invoice No.: Amount:$ ._ —_ _Date: —.--- ---- <br /> 1185 <br />