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CITY OF EVERETT <br />3�-� �' DEPARTMENT OF PUBLIC WOHKS <br />UT�LITIES DIVISION <br />NC PG.ST/i✓Cr <br />UTILITY WORK ORDER <br />�ate: S 3/ F' � � WATER � SERVICE <br />❑ SEWER ❑ MAIN" <br />O STORM ❑ PUMP STATION <br />Location: <br />VJ.O. Instructions: <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cosq <br />❑ TREATMENT <br />❑ RESERV'�IR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />- 7�t9,',7—SE r <br />._: 31�� <br />W.O. No. <br />Acct. No. "" �5 _ � /� <br />�� 3 �ZO000k� � <br />Complaint No. <br />❑ MAINTENANCE <br />O OPERATION <br />O REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor�hours) <br />Material (cost) <br />Equipment (cost) <br />0 <br />SCHEDULING REQUESTED _ <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE ` <br />LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SI �� �;. . ; <br />Completion (Date�: <br />Charge Account Number: <br />Address: <br />OSi. W <br />Charge Cost To (Name�: <br />Invoice No.: _Amount� <br />