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CITY OF EVERETT �' 7073 <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />3 <br />UTILITY WORK ORDER <br />W.O. No. <br />ACCL No. L 7 1 , y _ <br />Complaint No. <br />Date:. f WATER <br />d <br />SERVICE <br />Qr <br />MAINTENANCE <br />❑ SEWER <br />❑ <br />MAIN <br />❑ <br />OPERATION <br />❑ STORM <br />❑ <br />PUMP STATION <br />❑ <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 />r O �r <br />Location: .1^ Tl—� �/' <br />d- <br />ST S C <br />_ <br />W.O. Instructions: 4oC tIt C.W-,g <br />SM <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />ACTUAL '2 67 5 <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): 7,-�y Cost:$ <br />Charge Account Number: <br />Charge Cost To (Name): <br />Address: Zip: <br />Invoice No.: Amount:$ —Date: <br />