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CITY OF E.VERETT c/gq Pos-r5TD n 1 <br />NG -v%5mmS P v—)—% q u L . <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />W.O. No. <br />UTILITY WORK ORDER <br />Date: fit" \,�' WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />� % 2- <br />SERVICE <br />C <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />W.O. Instructions: <br />1 <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />Acct. No. �--!E t t L/ <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />0REPAIR <br />❑ CONSTRUCTION <br />ACTUAL 1- Mr—> <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): 9,—� - 96 Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice No.: — <br />1/85 <br />Charge Cost To (Name): <br />a <br />Date: <br />