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�.. M � .I_• q�� . . .. !.. I . . . . <br /> , •: '� CITY O�j EVEHE7T ; . . <br /> , . � � `� _ . DEPARTMENT,OF PUBUC WORKS ZS.c� �:�� 'g•?8�I <br /> � I'�^ . � UTILITIES DIVISION � f r ' , <br /> � � � , V�.O. No. <br /> � ._. _ . . , <br /> �. �SOT(.v, Cu.r.,,,c z.'_ //-7 <br /> . „ �� AccL No. _�� � � <br /> t UTILITY WVRK•ORDER �X� a� ��_ Complaint No. <br /> Date: �_ �' WATER ❑ SERVICE ❑ MAINTENANCE <br /> ❑ SEWER � MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT � CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE �=-1-�-� �, �'vMm S <br /> ❑ MAN HOLE � �"-�3 -�'� <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: --,G,j�1d � � CL��_��� <br /> W.O. Inatructions:. ND/�!/d(� � <br /> ��• �I ti0 W �il�Q I [CnnPr�'nv� <br /> ' . <br /> ' ,'� <br /> ESTIMATED ACTUAL <br /> Lebor(fiours) . Labor(hours) . __ <br /> �Material(cosQ . Material (cost) <br /> Equlpmant (cost) : Equipmant (c�st) : <br /> :. '�$CHEDULING REOUESTE� � <br /> � USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LAE(�R, EOUIPMENT, AND MATERIALS ON REVERSE SIDE.~ <br /> Completion (Date): ,�� '�/�O�O r Cost:B <br /> Charge A�count Number: Charge Cost To(Nar.ia): <br /> Address: Zip; <br /> Invoice ivo.: Amount:$ Date: ___ <br /> ;� <br />