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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC: WORKS Pi676 <br />UTILITIES DIVISION <br />W.O )No. --- <br />MM$ ccf. No. � <br />UTILITY WORK ORDER Complaint No. <br />Date: S'-1 )I WATER �0//SERVICE ❑ MAINTENANCE <br />SEWER ❑ MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION C7' REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: I W O )- 7 t/ <br />W.O. Instructions: __ eG/7.'t 451. 11 1 <br />ESTIMATED ACTUAL <br />labor (hours) Labor (hours) <br />Material (cost) Material (cost) <br />Elquipment (cost) I 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): _ �i�� �''r —Cost:$ <br />Charge Account Number: _- Charge Cost To (Name): <br />Address: <br />Invoice No.:' !:" _ Amount:$ <br />uas <br />