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1/85 <br />CITY OF EYERETT <br />DEPARTMENT Or PUBLIC WORKS <br />UTIUTIES DIVISION <br />L �-28-�I <br />12�8''! �'o ='a.� �: � I �) rn rr� S <br />UTILITY WORK OR;DER <br />Date: \O WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: <br />�� S��VICE <br />❑ N�il N <br />O P_�41p STATION <br />❑ T=cATMENT <br />❑ R=3ERVOIR <br />O \'t�VE <br />❑ I��SN HOLE <br />❑ GLiCH BASIN <br />❑ G-CH <br />L�n �' Si��r �'� <br />l/1)f G'�� � �; ;/'i �� ; <br />ESTIMATED <br />Labor (hours} . <br />Material (cost) . <br />Equipment (cost) : <br />';o ��,�� <br />i �,.. <br />W.O: No. <br />L���11 <br />Acct. No. _ <br />Complaint iJa <br />MAINTENANCE <br />OPERATION <br />❑ REPAIft <br />❑ CONSTRUCTION <br />n-r 7<. -r��;�i7��� <br />=:,TUAL <br />Labor (hours) . <br />ii Material (cost) . <br />I Equipment (cost) : <br />SCHEDULING REQUESTED __ <br />USE CHARGE ACCOUNT NUMBER BELOW FOR L�,BOR TIME 3LIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVE�E SIDE. <br />Completion (Date): �� 2?!�y Cast:$ - <br />Charge Account Number Charc}-Cost To (Name): _ <br />Address <br />Invoice No.: Amo_�t:$ <br />