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CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS 9064 <br />UTILITIES DIVISION <br />1; 17- 28-5 <br />;l <br />/y <br />UTILITY WORK ORDER <br />n0 k� <br />Acct. No. _ V7 s I) 9 <br />Complaint No. <br />Date: qD e WATER <br />ke,SERVICE <br />A� MAINTENANCE <br />❑ SEWER <br />❑ MAIN <br />❑ OPERATION <br />❑ STORM <br />❑ PUMP STATION <br />❑ REPAIR <br />❑ TREATMENT <br />❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />Location: -A717 ��6 <br />❑ DITCH <br />.yT— <br />W.O. Instructions: 4o6A19 4—eA lOL#GC,sj <br />p I�X <br />J fl'�dtT <br />ESTIMATED <br />ACTUAL <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 SLIRS:'ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): 2-2D ___Cost:$ <br />Charge Account Number: Charge Cost To (Name): G4013L1PE C.IrslN-1001- <br />Address: _10( 16 - 106j-OR If. w r A" Zip: <br />Invoice No.: Amount:$ Date: <br />1 /85 <br />