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' CITY OF EVEiiETT • 7 4 9 8 <br />- ��. <br />DEPI4RTMENT 9F PUBLIC WORKS <br />UTILITIES DIVISION <br />�i��9 ��SV`�T�MS R E�l. <br />/I,l � �/ < 9 —.� _ <br />UTILITY WORK ORDER <br />Date: �. .� �NATER <br />i ❑ SEWER <br />❑ STORM <br />0 <br />t/85 <br />�' SEftVICE <br />❑ MAIN <br />O PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />O MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />W.O. No. <br />acct No. ���.11.� <br />Complaint No. <br />� MAINTENANCr <br />❑ OPEi�ATIGN <br />❑ RF:PAIR <br />❑ CONSTRUCTION <br />Location: ___ 3S+Z� LB.�1/EIR�QD f�l/G _ <br />W.O. Instructions: _��P=A ��� KE'A/ 'S�+c' 4'i 6� 1?,m +� H i"r� 1 <br />J , � <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />A�.`i'UAL <br />Labor (hours) . <br />Material (cosq . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BE�OW FOR LABOR TIME S_ PS. 'TE IZE <br />LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. ��� � <br />Completion (Date): � �' ��}� Cost:$ <br />Charge Account Number. _ <br />Address: <br />Invoice No.: <br />Charge Cost To (Name): <br />nt:$ <br />