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� CITY OF EVEHETT' <br /> UEPARTMENT OF PUBLIC W'�eiKS 3O Q i <br /> UTILITIES DIVISION <br /> W.O. No. _ <br /> � -- > <br /> r / ,� �� Acct No. L, j 'i 11�J <br /> y . <br /> Complaint No. _ <br /> UTILITY WORK OFiDER <br /> Uate: �� �F ,��' p' WATER p' SERVICE ❑ MAINTENANCE. <br /> ❑ SEWER ❑ MAIN u OPERATION <br /> ❑ STORM O PUMP STATION C� REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> n <br /> .�-„T�� �' ❑ RESERVOIR <br /> ' � - � ' g� ❑ VALVE � . � ,rL.��L <br /> �----if--- — ,�1.:.. ''--. .. ,- <br /> ❑ MAN HOLE / <br /> i '-" -` '_-.— '_---'-�=•�-=• I <br /> I - ❑ CATCH BASIN <br /> � ❑ DITCH <br /> I Location: � I�q �Y��'l'�.���'� l'-✓/{l� <br /> ,q , <br /> W.O. Instructions: IVf� �i> >a� SE-.Pl-lc � <br /> � <br /> � <br /> � <br /> ESTIMATED ACTUAL <br /> �, Labor(hours) . Labor(hours) . <br /> I <br /> Material (cost) . Material (cost) . _ <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LA60R TIMf SLIPS. ITEMIZE <br /> LA60R, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): �- ����—��� Cost:� <br /> Charge Account Number: Charge Cost To(Name):_ <br /> Address: Z�P� <br /> Invoice No.: Amount:$ Date: <br /> 1/R5 <br /> .. . n j , `I _ - _ '_ ,.i:;"�' � � '.� <br /> �:". , �; � �:' .,`:...`. .. _,_ ..�,.. . . <br /> ��i r '^,� <br /> � <br /> •41 � 7 .:i. � i s � _ � '.Pi����,���� ��r,��� 'F` *•��r�iBiW <br />.."#9e.___��i�'.�.�o.� . .. _ ��. ., .. ..,�{. . � _ �,,.p.ti_L-�.��+.,:�t.e ,.._{1 �:.� . . . _ . .. 7 , X�! �4�Y?1 e ..+vxir�. <br />