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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: �,Q NATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />J'+4ve° <br />i a� <br />-E7 <br />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 />ACTUAL <br />7a94- <br />W.O. No. <br />Acct. No. <br />Complaint No. <br />a MAINTENANCE <br />❑ OPERATION <br />REPAIR <br />❑ CONSTRUCTION <br />Labor (hours) <br />Material (cost) <br />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): ^�y, 2y4--&�—'--Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice No.:_— <br />i ies <br />Charge Cost To (Name): <br />p: <br />mount:$ Date: <br />