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DEPARTMENT OF PUBLIC WORK3 <br />, UTILITIES DIVISION <br />, �/89-i�sr�D�t-�vrnMs <br />� � <br />, C�-� <br />3G-�- <br />� <br />l/TILITY WORK ORDER <br />7 <br />- <br />W.O. Na <br />Acct No. L7 S� �� �' <br />Cornplaint No. <br />Date: 'L 3v� }� y� WATER � SERVICE � MAINTENANCE. . <br />I� SEWER ❑ MAIN `❑ OPERATION <br />17 STORM ❑ PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />� C9 RESERVOIR <br />❑ VALVE � <br />❑ MAN HOLE <br />❑ CATCH.BQSIN <br />❑ DITCH �.' <br />Locatlon: ���OZ �O`�T 9d�i _ <br />W.O. Instructions: � L �lS�-( S�PLI � <br />ESTIMATED <br />Labor (hours) . <br />h7aterial (cost) . <br />Equipment (cost) : <br />SCHE�ULING REQUESTED <br />�� <br />ACTUAL <br />Labar (hours) <br />Material (cost) <br />Equipment (costj <br />U51_ CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME IPS. ITEM'�IZ�E <br />LAE30R, EQUIPMENT, AND MATERIALS ON FEVERSE SIDE S�a�. <br />Completion (Date): '�� '�`���a' Cost3 <br />Charge Account Number. <br />Address: <br />Charge Cost To (Name): <br />Invoiice No.: Amount: <br />i ies . <br />-.� <br />