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- CITY OF EVEREi l <br /> DEPARTMENT OF PUBLIC WORKS � �= �O �5 <br /> :., ��... . <br /> - - - UTILITIES DIVISION <br /> ,._ .... .. . <br /> W.O. No. <br /> � _ �q _29-5 Acct. No. lO7S��9 : <br /> . _. .. , . -�' _ _ .._ _ _ . _ __ ..__. <br /> �-- --- -- - --- -- - - . <br /> ' �90 PosTE� . Complaint No. <br /> UTILITY WORK ORDER ' <br /> Date: � — p�� C�WATER C�SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION B�REPAiR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> O MAN HOLE <br /> ❑ CATCH BASIN <br /> cG'P�'f� AVe' � DITCH <br /> /,�0� ��� b��-. <br /> Location: �_�— <br /> ;'., ., � �-'e�vi�-E �iir�a�ed h y c`ohTR� �oR <br /> W.O. Instructions: �*�� �� � <br /> Nv C�f[�4��c— M i s ll�� A�. .l �s4ca/ <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): 1..�`��� �S Cost:S <br /> � .� � n9 <br /> Charge Account Number. Charge Cost To (Name): �"�5 � <br /> Address: Z�p� <br /> Invoice No.: Amount:S Date: <br /> �ies <br />