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_....__....,.-_-� -- . __ . , <br /> . . , . . CITY OF EVEREI'T • ` 7 4 4 O <br /> • DEPARTMENT OF PUBLIC M�OFIKS <br /> UTIUTIE , b�Sss N W.O. No. <br /> ` �'�t�I �, � �� Acct No. l'7� ���-- <br /> �, �" , I 1 f / Complaint No. --- <br /> V <br /> UTILITY WORK ORDER �� r^ F�✓ Mp�NTENANCE <br /> �- WATER �SERVICE �� <br /> Date: � � ❑ MAIN ❑ OPERATION <br /> ❑ SEWER <br /> ❑ STORM O PUMP STATION G REPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> p RESERVOIR <br /> ❑ VAWE � <br /> I <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: e � <br /> W.O. Instruc!ions: <br /> L �� <br /> � <br /> � <br /> . ti• <br /> - - ACTUAL <br /> ESTIMATED " " <br /> Labor{hours) • <br /> Labor(hours) • Material(cest) • <br /> Material(cost) . --- <br /> Equipment (cost) : <br /> Equipment (cost) : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELO�N FOR LABOR TIME S. EMIZ� <br /> LABOR, FOUIPMENT, AND MATERIALS ON REVERSE SIDE. �_� <br /> Completio� (Date): .�-�� �—�`J—Cost$—..– <br /> Charge Accouni Number:_.--- <br /> Charpe Cost To(�ame): — <br /> Zip: <br /> Address: <br /> Date: <br /> Amount.$—�--� <br /> Invoice No.: <br /> �iss <br />