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a ' . 4 - , .• - CITYOFEVERE7T $ (p�/� <br /> " DEPARTMENT OF PUBLIC WORKS ��- <br /> UTILITIES DIVISION <br /> W.O. Na <br /> J 30-Z9 - S Acct Na LT s <br /> UTILITY WORK ORDER Compiaint Nx _ <br /> Date: � �' Y y �� WATER � SERVICE � MAINTENANLE <br /> ❑ SEWER MAIN ❑ OPERATION <br /> ❑ STORM D PUMP STATION ❑ REPAIR <br /> ��//' // . . / ❑ TREATMENT ❑ CONSTRUCTON. <br /> Y' G �� C� ❑ RESERVOIR <br /> / <br /> n � VAI_VE <br /> r�-T� ❑ MAN HOLE <br /> � -5-90 <br /> j5� ❑ CATCH BASIN <br /> ❑ DITCH <br /> - Location: '3 �l / �— 3'1 !b �Lg�/ <br /> �/ <br /> w.O. lnstructions: K� ►-L ExitT-�.y� S (r,�Yl�s <br /> ESTIMATED ACTUAL /7 r"S <br /> Labor(hours) . Labor(hours) <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGF ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): Cost:S <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: TP.,, <br /> Invoice No.: Amount:$— nx.,: __ <br /> ,ias <br />