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CITY OF &ERETT I 3/as <br /> 4604 <br /> DEPARTMENT OF PUBLIC WORKS 4 6 0 4 <br /> UTILITIES DIVISION <br /> W.O. No. <br /> t Acct. No. /0 <br /> Complaint No. — <br /> UTILITY WORK ORDER <br /> Date: jjA"ea— P< WATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER Ef MAIN ❑ OPERATION <br /> ❑ STORM (3 PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ;K CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: <br /> W.O. Instructions: )--�j— ' `V5 A Jl-A l.o-J - <br /> ESTIMATED ACTUAL <br /> Labor(hours) Labor(hours) <br /> Material(cost) — Material(cost) <br /> Equipment (cost) _—_ Equipment(cost) <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOWFO LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT,AND MATERIALS ON RE FRSE SIDE. <br /> Completion(Date): <br /> Charge Account Number: Charge Cost To(Name):------- <br /> Address: Zip: <br /> Invoice No.: ___—Date: <br /> Date: _— <br /> 1185 <br />