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CITY OF �VERETT <br />• DEPARTMENT OF PUBLIC 1NORKS <br />UTILITIES DI4P�ION ��Igc� W O. No. <br />�� - <br />�az2 <br />�� �y %�� 1 / <br />� � Acct No. _� � ' I � <br />�/ T v �Z�� � Complaint No. — <br />UTILITY WORK ORDER <br />Date: � �"� � � ;d WATER <br />❑ SEWER <br />❑ STORM <br />� ❑ SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESEfiVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CAiCH BASIN <br />❑ DITCH <br />Location: ��d�'p�'�E��� � � <br />W,Q. Instruc[ions: K� �-�- 5�����G� <br />ES7IMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCNEDULING REO:IFSTED <br />p' MAIN7ENANCE <br />❑ OPERATION <br />O REPAIR <br />❑ CONSTRUCTION <br />c <br />4CTUAL ��f /� S <br />Labor (hours) . <br />Material (cost) . <br />_ Equipment (cost) : <br />USE CHAFGE ACC�OUNT NUf�A2ER BELOW FOR LABOR TIME SLIP . ITEMIZE <br />LA90R, EQUI?MENT, AND MATERIALS ON R[VERSE SIDE. �:;.�;;.; <br />Compietion (Date): � ~ / �8� Cost:�w <br />Charge Account Number. <br />Adcias�: <br />Invoice N <br />ves <br />Charge Cost To (Name): <br />ount:� <br />