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CITY O� cVERETT <br />OEPARTMEtdT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />4�� o �M'N�5 R�4.24 <br />N 5-2�-= <br />W.O. No. <br />Acct No. �'7 S' � � � <br />Complaint Na <br />UTILITY WORK ORQER <br />> <br />Date: � z' � �— � �NATER �I SERVICE � MAINTENANCE <br />❑ SEWER ❑ MAIN O OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESEFiVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />� DITCH <br />Location: (e��� l?��K�FELLIGe� A✓� <br />w.0. Instructions: Q ��� W/�'f�� �'��'� � <br />l0-/3-95 S..Je,t ,�• T,�`�-9�� Zi 3� 3SoS 6805 8�-s <br />/o—l�i-fjg S Sea'��T ��t;tc�e�� 2�3 3soS 'f ff�S -- <br />ESTIMATED <br />Labor (hours) . <br />Material (costj . <br />Equipment (Cost) : <br />SCHEDULING REQUESTEO <br />ACTUAL / Z <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCQUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): � �- �y �� Cost:$ <br />Charge Account Number. <br />Address: <br />Charge Cost To (Name): <br />Zip: <br />Invoice No.: Amount:$ Date: <br />