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... � ..... ..� . ...r.. �. ��...-. .._n.r . . �. <br /> r.,. . <br /> w� ... . � - .e � ' '�� <br /> , -if n�»i+l.�y'',' xr�^.�E`ij:ri�i. =?•.� �'^°`�`a-.• + 'YN! � a,._ ,. — .. .i� <br /> • � � CITY OF EVFRETT <br /> ' "'G\�Y�. ' �-' a9�(n <br /> DEPARTMENT OF PUBLIC WORKS •- <br /> i1TILITIES DIVISION <br /> , W.O.•No. <br /> �' - GG �/- iiy <br /> � ; <br /> '� Acct No. <br /> � ' ���'� � d -� 1': :;���•.•� � <br /> UTILITY WORK ORDER Complaint No. } <br /> Date: �� ' � � � ❑ WATER ❑ SERVICE ❑ MAINTENANCE <br /> O SEWER ❑ MAIN O OPERATION <br /> ❑ STORM O PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> � F'cSERVOIR �, �.� <br /> u VALVE �='`� � <br /> —u n.�r, _ <br /> O MAN HOLE - �_�� <br /> � CATCH BASIN — <br /> ❑ DITCH <br /> Location: a / �� Ce �2 <br /> W.O. Instructions: = � ' -s T // �� � // U,- �, i.� „�c � "c Tc ir <br /> - '� 7ef 7� � 3 �/ C'i e� �i �/ 00 '=o . %.��1,�/ o�c/ <br /> � <br /> � <br /> i <br /> t � �. � (, r. i.� - \ �. ."_ <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . � <br /> Material(cost) . Material �cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> 1 <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:S <br /> Charee Account Number. Charge Cost To (Name): _ <br /> Address: Zip;, <br /> Invoice No.: Amnunt� n��A� <br />