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909 PINE ST 2016-01-01 MF Import
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909 PINE ST 2016-01-01 MF Import
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Last modified
5/18/2017 1:34:10 PM
Creation date
2/24/2017 3:50:28 PM
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Template:
Address Document
Street Name
PINE ST
Street Number
909
Imported From Microfiche
Yes
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1: <br />� <br />� . � CITY OF EYEREIT .�a9 �°�� `"�C � <br />Tu�M_,,���R���N_ 7604 <br />. qEPARTMENT OF PUBLIC WORKS G �-�_�q— 5 <br />UTILITIES DIVISION 7 � �)�{ <br />W.O. No. r <br />Acct No. �07 �� / <br />UTiLITY WORK OROER <br />Date: ' -' � � '— [f WATER <br />❑ SEWER <br />❑ STORM <br />.� <br />�� .. 90 9 0...� <br />❑ SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VAI.VE <br />❑ MAN HOLE <br />❑ CATCH BP.SIN <br />❑ DITCH <br />Complaint Na <br />❑ MAINTENANCE <br />O OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />� Location: �00 � ��C% O/�J �/N[C — <br />. W.O. �ns4ructions: : N S T4 �% S 8s � �� g�! �. ��/�—T � — I <br />A. . A _ . ♦ i <br />. . � N'L� !� � R� _ <br />L� �! ��cT/�u <br />: �. <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />/h <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />I Equipment (cc <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER F3ELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR. EdUIPMENT. AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �� �s— b '� Cost:$ <br />Charge Accou�t Number. Charge Cost To (Name): — <br />Address: `�~� <br />Invoice No.: <br />Amount:S Date: <br />
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