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+ies <br />CITY OF EVERHTT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DlVISION <br />UTILITY WORK ORDER <br />Date: - - 7�'� � WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />f -' l <br />1a l_r � <br />�SERVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />O VAL,/E <br />❑ DrAN HOLF <br />❑ CATCH BASIN <br />❑ DITCH <br />- � ..::,y.:yA.F.� �.-, .... . <br />,r• ., <br />.._ ^ .. <br />W.O. No. <br />AccL No. L S- ) � G� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />�REPAIR <br />CONSTRUCTION <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />i� <br />F� ,YEa\I <br />� _i_• �o <br />.— --u--- — <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATL"RIALS ON REVERSE SIDE. <br />Completion (Date): ��� 2� � Cost:$ <br />Charge Account Number. Charge Cost To (Name): ������'�— L�GN�r�1�y�� <br />Address: p9.i3ox 33�� T�oRrI..W�l� DIr,< <br />Zip: _�J72o� <br />Invoice <br />nt:$ Date: <br />