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.- _.. +:,._...�,;,,i��.�C.r-. . 4 <br /> G-r�;�T E D <br /> � t CITYOFEVEpETT 3�8�--`��nr.ti5 ;.: -. 7943 <br /> DEPARTMENT OF PUBLIC WORKS � S_z�-�- <br /> UTILITIES DIVISION <br /> W.O. No. — <br /> Acct No. � S ��� <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: 11� I N_.�� WATER � SERVICE � MAINTENANCE <br /> SEWER O MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT O CONSTRUCTION <br /> ❑ RESEFiVOIR <br /> O VALVE <br /> O MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> �ocation: _�S d �1 M�L ti� � �✓c�� <br /> W.O. Instructions:�� L � �F�t'�l � � <br /> /�'�T�8g 5 .1C�f'.� <br /> ' „y� yQ,. .,, !�/GLEb I/-/4�R8 — <br /> ,��sr*!'-r`t- .� .'LC C .M /��h��a� �.�+.f� <br /> .�-�..vK/ a.�a.dl�r�c.��r- .s.�-!'�rr�i7t <br /> � � <br /> i i <br /> � <br /> i <br /> ESTIMATED AGTUAL <br /> Lebor(hours) . Labor(hours) . <br /> ; I Meterial (cost► . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED �� <br /> USE CHARGE ACCCUNT NUMBER BELOW FOR LABOR TIME S IPS. I EMI E <br /> LABOR, EOUIPMENT, AND MATERIALS ON REVERSE SIDE. �`;�� <br /> I Completion (Date): � �� � ,�-��p�—Cost:$ <br /> i <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p� <br /> � Invoice No.: Amount:$ Date: <br /> ,��, <br />