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CITY OF EVERETT <br />" DEPARTMENT OF PUBLIC WORKS <br />ti• <br />UTILITIES DIVISION <br />'a <br />UTILITY WORK ORDER <br />Date: %• I� WATER <br />`❑ SEWER <br />❑ STORM <br />W.O. No. <br />T Acct. No. (. <br />I dos Complaint No. <br />-'SERVICE <br />❑ <br />MAINTENANCE <br />MAIN <br />❑ <br />OPERATION <br />❑ <br />PUMP STATION <br />`0 <br />REPAIR <br />❑ <br />TREATMENT <br />❑ <br />CONSTRUCTION <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />O <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />Location: -,7 CY -71-) `S 'r" <br />W.O. Instructions: <br />i <br />;•I <br />I <br />ESTIMATED ACTUAL <br />0 6'3 0 <br />Labor (hours) <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): t Cost:$ <br />Charge Account Number. Charge Cost To (Name): <br />Address: _Zip: <br />mount:$ Date: <br />Invoice <br />