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. ... __ ,,� . , <br />- �• - Y . <br /> " � . ' .� CITYOFEVERE7T �(� 4653 <br /> DEPARTMENT OF PUBLIC WORKS <br /> �/ � 7- z9 - s <br /> UTILITIES DIVISION yy,0. No. <br /> , bAT��` �'� � <br /> �Jrn1�1��� akG- Acct No. !_ "7'i 1 i I <br /> �'g ,/��� ' I� Complaint N^. <br /> UTILITY WORK ORDER <br /> Date: 2 1 ) '� � QY WATER � SEFVICE �' MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION O REPAIR <br /> ❑ TREATMFNT �'- CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> I�'F�S J3�QND �Yr�� '+a�' � ���� � � <br /> Location: � <br /> W.O. Instructions;_ G II R-ll�lG �P�4t 1�A'C_ C� hr �� <br /> . . . .�' --err- <br /> ESTIMATED ACTUAL /� S <br /> Labor(hours) . Labor(hours) . <br /> Material(cosi) . _. Material(cost) • <br /> Equipment (co3t) '' ' Equipment (cost) : <br /> SCHEDULING �E�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Comp�etion (Date): 2 — Z 7 —�7 Cost:$ <br /> Charge Account Numcer. Charge Cost To(Name): <br /> Zip:. <br /> Address: <br /> Invoice No.: ''' _Amount:$ Uate: <br /> ,:� <br /> 1/!6 <br />