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CITY bF EVEl�ETT J��� �,-�;rEL-t-, . J 7 G S <br /> '� DEPARTMENTOFPUBLICWORKS 8J T�"'� <br /> UTILITIES DIVISION <br /> W.O. No. <br /> Acct No. /� l eS 7v <br /> UTILITY WORK ORDER Complaint No. <br /> Date: ��—�����B�WATER Cd' SERVICE O MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION � <br /> ❑ STORM ❑ PUMP STATION ❑ iiEPAIR <br /> ❑ TREATMENT � CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE I <br /> ❑ CATCH BASIN <br /> ,3��� �/'�y� �� ❑ DITCH <br /> � /�C � %[. <br /> �ocation: 3 / / o `/D i �J C'�.Ld y �.�s% S� c1E' <br /> W.O. Instructions: _1� tLr/�e�,1 Ot" 5����Cc S �tlJ �-Jfa/Z �rJ dSt <br /> ��E'v.--1 f3',� C' , r-�f��.✓ <br /> i <br /> ESTIMATED ACTUAL <br /> Labor(hours) , Labor(hours) . <br /> Material (cosry . "Material (cost) . _ �I� <br /> Equipment (cost) : Equipment (cost) : _ �I <br /> SCHEDULING RE�UESTED , <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR T�ME SLIPS. ITEMIZE <br /> LABOR, EQUiPMENT, AND MATERIALS ON REVERSE SlD�. I <br /> Completion (Date): Cost:$ � I <br /> Charge Account Number. Charge Cost To(Name): � <br /> Address: _Zip: <br /> invoice No.: _Amount:$ Date: <br /> �ns <br />