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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORKORDER <br />Date: L— � �) / �6 WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O.Instructic,,s: <br />ESTIMATED <br />0� <br />W.O. No. <br />Ls ►t <br />Acct. No. i <br />Complaint No. <br />q SERVICE ❑ MAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION 'fg� REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />coh'c— FLO"- cWifcok� RY14d° <br />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): �,,-J 5---f f Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: Zip: <br />Invoice No.: Amount:$ Date: <br />,,4e <br />8537 <br />