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CITY OF EVERETT _ <br /> DEPARTMENT OF PUBLIC WORKS N2 8470 <br /> UTILITIES DIVISION <br /> W.O. No. <br /> .Y:e i <br /> Acct No.1 01 <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: I — ► IP1 WATER �I SERVICE MAINTENANCE <br /> ❑ SEWER ❑ MAIN' ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: <br /> W.O. Instructions: _ <br /> ESTIMATED ACTUAL <br /> Labor(hours) Labor(hours) <br /> Material (cost) _ Material (cost) <br /> Equipment (cost) 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): Cost:$ <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: zip:--.-- . <br /> Invoice No.:. Amount:$ Date: — <br /> iiee <br />