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• • ' CITY OF EVER[TT . <br /> ,.;. � �) <br /> DEPARTIVIENT OF PUBLIC WORKS <br /> UTI:.ITIES DIVISION n s' la -p�-L,... <br /> � W.O. No. <br /> v�' <br /> 11^ ���'�I , Acct No. ���� � �`� — <br /> � � '� ��� I � U Ccmplaint No. _ <br /> UTILITY WORK ORDER ----- <br /> Date: �C_,_i_?__ � yyATER �Cf SERVICE ❑ MAWTENANCE <br /> � <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> . ❑ STORM l7 PUMP STATION �l' FEPAIR <br /> ❑ TREATMENT O CONSTRI'i;TION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HULE <br /> ❑ CATCH BASIN <br /> C7 DITCH <br /> Location: ____���r�� r� !- L- <br /> A�9-1_------------ <br /> W.O. Instiuctions: ��� i^/I � k� S f_9�!•/G� <br /> ESTIMA7ED ACTUAL_� �-t�l` <br /> Labor(hours) . _________ _ Labor(hours� . _ _ <br /> Material (cosq . Material(cosq . _ _ <br /> Equipment (cost) : _ �__ Equipment (cost) : ___ _ <br /> SCf'EDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMEiER BELOW FOR LABOR 1lME SLIFS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATFRIALS ON FiEVERSE SIDE. <br /> Completion (Datel: _.� 'ZZ - Y 7 Cost:S__ _ _ <br /> • Charc�e Account Number; _Charhe Cost To (Name�; __ <br /> Address: --- ---- ---Z�n�--- <br /> invoice No.:----_--- _Amount:5_. �ate: <br /> iiay <br />