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n <br />• ' <br />CITY OF EVEAETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTIIITIEB DIVISION <br />UTILITY WORK ORDER <br />Date: �� y�� G D� WATER <br />❑ ScWER <br />❑ STORM <br />❑ SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TRFATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE � <br />❑ CATCH BASIN <br />� DITCH <br />��'" ��� 2333 <br />w.o. Na 2 3 3� <br />Acct Na �U � <br />Complaint Na <br />❑ MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />d'/i.ONSTRUCTION <br />Location: � 1 � � �� � s �� <br />a <br />W.O. Instructions: �%'� { G.� h�' 7 �A. o �i n �C �� G�� Grs,n. <br />^ �� p �-1 � 7 � t � •� . �j!� // , � �� A.0 T,� r �..,� <br />' _,� / / �.+ � e ,�i � <br />i <br />�. <br />� � o. <br />j�� ��e� <br />I ESTIMATED <br />Labor (hours) . _ <br />� Material (cost) � i <br />; Equipment (cost) : <br />ACTUAL <br />� <br />� <br />. \ J J J n �.+ <br />` .r, -�z � Ci <br />Labor (hours) . <br />Materiai (cast) �$ L <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />, USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />� LABOR, EC! ���MENT, AND MATERI S O EVERSE SIDE. <br />.,,---" Completion (Date): � 7 �l Cost:$ <br />; <br />, <br />Charge Account Number. _Charge Cost To (Name): ����E /�t M�X <br />Address: � k ��/1����t%/S• ,__ Zip: ���•�� <br />Invoice No.:� 9a 3�, Amount:$ �ate: ' _ <br />