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N <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS • •-• <br />9170 <br />UTILITIES DIVISION <br />W.O. No. _ <br />Acct. No. <br />Complaint No. <br />UTILITY WORK ORDER <br />Date: _z Z7�y1) k!/WATER <br />❑ SERVICE <br />❑ <br />MAINTENANCE <br />❑ SEWER <br />J?i MAIN <br />❑ <br />OPERATION <br />❑ STORM <br />❑ PUMP STATION <br />,PI <br />REPAIR <br />❑ TREATMENT <br />N <br />CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />1 <br />❑ DITCH <br />Location:— <br />W.O. Instructions: <br />CCTI KA ATG rI <br />ACTUAI <br />Labor (hours) _ <br />— <br />Labor (hours) <br />Material (cost) _— <br />Material (cost) <br />Equipment (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): r?'' 52� 9ID Cost:$ <br />Charge Account Number: _. <br />Charge Cost To (Name): <br />Address: Zip: <br />Invoice No.: Amount:$ Date: <br />1 /88 <br />