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--,.. . ..: _,. -.',_ ,. . ,_. ... . . . CITY OF EVEREIT _ .. . . . ._.... ... :�: <br /> I DEPARTMENT OF PUBLIC WORKS � ' "• s 4 1 1_ . <br />�. ., �s -=- ::. .' - :- . - - ... UTILITIESDIVISION - <br />.. . � -,.f�5T�1� tz-iz-as � - �.,_ ;.,_ ._ _ W.O. No. _. . . <br /> __ _ <br /> � <br /> . <br /> . - <br /> � : . Acct No. <br /> p 3b .Z� - y o7S //9 <br /> ___ �; __ _._ _ _ _ _ _ <br /> , . .. _ . . <br /> , _-- � __�. _ . <br /> Complaint No. <br /> �1TILITY WORK ORDER <br /> Date:_,/i� -s - 89 G3�WATER C� SERVICE ❑ MAINTENANCE <br /> ❑ SEWER � MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION C�REPAIR <br />�;�, _ . _ , ❑ TREATMENT ❑ � CONSTRUCTION <br />" . ' � ' " ' � RESERVOIR <br />' � ❑ VALVE <br /> �1TL 6911 <br /> � � ❑ MAN HOLE REp�� ;Z <br /> ❑ CATCH BASIN i�-S-g9 <br /> ❑ DITCH <br /> Location: ��� ��C���dL/��� <br /> W.O. Instructions: ,1��/J 7//1 ,ORD/�PRJ �P/1 /C <br /> ESTIMATED ACTUAL I <br /> Labor(hours) . Labor(hours) • I <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : II <br /> SCHEDULING REQUESTED <br /> USE CHARGE 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: Z�p� <br />� Invoice No.: Amount:$ Date: <br />' iies <br />