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I� . <br />.. � <br />• • � CIt1f 01'�V�RETT ��,�STEu r�_ <br />, DEPARTMENT OF PUBLIC WORKS �' "rUtnms <br />UTN�ITIES DIVISION � � � � � <br />W.O. No. <br />UTILITY WORK ORDER <br />Date: � � WATER <br />❑ SEWER <br />❑ STORM <br />7Q� ������ � <br />O SERVICE <br />�MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />O CATCH BASIN <br />❑ DITCH <br />4631 <br />> <br />Acct No. ���CG �� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPEFiATION <br />❑ /REPAIR <br />[� CONSTRUCTION <br />. <br />Location: • <br />• ,� _ , — ,� -� — <br />W.O.Instructions: �� / '� � � � '� � "t ��•✓•�L �J•✓�rC/ � �-✓ <br />E�TIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REOUESTED <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIM� SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Gate): �� � S �� Y Cost:S <br />Ci;�:yC Account Number. Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:S <br />r <br />t <br />