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� <br />CITY OF EVERC-•TT� <br />pEPARTMENT OF PUBLIC WORKS <br />UTILITY WQRK ORDER <br />Date: —1J�Jy� � WATER <br />❑ SEWER <br />❑ STORM <br />UTILITIES DIVISION <br />;� . . - - <br />� �,' -� <br />❑ SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />p TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />O MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />� ... �e��?"' <br />W.O. N o. <br />noo�. No. _/l� 6 7 7. <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPFRATION <br />❑ REPAIR <br />i.�S CONSTRUCTION. <br />�� �, <br />�-..—<-- E <br />—� r;.r:.� , <br />,___5� <br />Location: r °`^`� '"' —"� — p <br />W.O. Instructions: <br />� �� //i � 1'- {'/^� 9L Od K✓ / — <br />ESTIMATED <br />Labor (hours) . <br />Ivlaterial (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor(hours) • <br />Material (cost) . <br />Eouipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LPBOR, EQUIPMENT, AND MATERIALS ON REVERSE SiDE. ' <br />Completion (Datej: 7'°2U �� / Cost:� <br />Charge Accourot Number. _ <br />Address: <br />Invoice N <br />Cl�arge Cost To (Name): <br />� <br />mount:5 Date: <br />