|
- ". !'i`:.�� �..
<br />'��DEPARTME
<br />�3�...
<br />` UTI I
<br />. .._. ,.�;,..•�-
<br />.. . _ _: i;;.�:.:x;'.��5'�..S+t: =r' �,<`-,e
<br />•y��4 : Yi �JM . \ �-��u
<br />WORKS "..' -.
<br />,.�.�.,.. " .e ,� �;�
<br />.�
<br />V �; �#: -� �»
<br />.f `; r,:, ,.��.. _ .,. ���,.�
<br />t,� �` � t �a 4 ..� r _ .� , < �.;t6.y.�� „c,r,�e•,r� -
<br />,,^l .�., � 6 z8'�S. •• � ��-� �q��q. M.:>r«:.
<br />'...at � , _ .. , .. � ' .. f-2!`CCL:^e.�..'L�e:aa }'Vt,`? ry' :•
<br />• w_ �
<br />� "'�' �f s L �- .', .. " _..'�.- "' h _'.., S ....."_ '� ' r� .x�-mr�-.•—yT�,.� . e��
<br />' " ' 3/90 `ComplaintNo."'• ` ' ' ?
<br />UTILITY WORK ORDER "' ` :
<br />... p rY ; : . 7 . " .. . li"� . ' L _'�� ..i: L -y �. ��;�,
<br />- Date '��L ,� WATER ' �SERVICE j�YMAINTENANCE - �-.
<br />� � ' � ❑ SEWER ❑ MAIN � OPERATION..� `` •
<br />;, .. - .
<br />. . ...
<br />;.; ,. ,.;,�.0 STORM .. __., ... _. . _�__PUMP STATION ---,❑ REPAIR � . _
<br />,..,...., _ .._ .___.;
<br />❑ TREATMENT ❑ CONSTRUCTION - --- -
<br />:: :,__ _ � „
<br />,.: _ _ ,.
<br />� - _:.. ' � RESERVOIR -'
<br />.. . .,
<br />.� ._� __.__ " _---..,__.. . - -- __... - O VALVE -- . . _
<br />.;:: _..
<br />....
<br />. - ❑ � MAN HOLE _ _
<br />❑ CATCH BASW
<br />, . .-.. ❑ DITCH .
<br />'• �L`ocat(on: . . . . :,�212 �'�,MI��Hro .S 7`' .
<br />W.O.Instructions: �G�� ��%����
<br />, ;. -. ... .
<br />� : .,..
<br />, .. . . :. _. . ._. .
<br />.. j�. . .. . . . _ ' . . . ... .. .
<br />�
<br />fIMATED �
<br />' Cebor (fiours) -' : � �
<br />Material (cost) - :
<br />Equipment (cost) :
<br />� Labor(hours) ._
<br />Material (cost) . _
<br />Equipment (cost) : _
<br />i, ..:. . -- - - .
<br />�HEDULING REQUESTED
<br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE -.`. �
<br />LABOR; EQUIPMENT, AND MATERIALS ON REVERSE SIDE `� "'
<br />I:: �- _. __ .. .. _ . . . ,. • . .
<br />Compietion (Date) - _�/Co/ri9' Cost:$ .
<br />�Charge Account M1iumber. Charge Cost To (Name):
<br />Address `Zip
<br />, � �,.� s . , -
<br />Y'
<br />It �. t� . �} j. 1CA A� - ' -• •.. : � ' . :. ': � _
<br />s..�flV(]ICP Nn. •' . . . . . .. .. . � Amn�inf•C � - . ' . Ild�n
<br />i5 •--'=.
<br />0
<br />
|