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DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: ''" � 1 �; r e� WATER <br />❑ SEWER <br />O STORM <br />�/f /�-LVLE.e ��'c <br />UTILITIES DIVISION � <br />�� <br />� 2C.� <br />r <br />� <br />W.O. No. <br />gAcct. No. ( 7 5 I �'/ <br />Complaint No. <br />�SERVIC� O..' MAINTENANCE <br />❑ MAIN ��O OPEAATION <br />❑ PUMP STATION ,� REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIF <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: 2�lZ l,?bl y' �PAI.NER <br />W.O.Instructions: � 1�e�L�,%� _ <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion(Date): 3—�%�S$ Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: Zip: <br />Invoice No.: Amount:3 Date: <br />