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DEPARTMENT OF PUBUC WORKS <br /> � - UTILITIES DIV1810N . <br /> , `}/� Po STE'�-No TuNtM� � , w.o. Na <br /> ..;,� <br /> �i . Acct Na 1-7 S� I 1 L/ <br /> � . � <br /> UTILITY WORK ORDER � Zg — 2 9 a . Comp�atnt No. =3� • <br /> Daee: �- `'�,�� � WATER � SERVI - ❑ MAINTENANCE <br /> ❑ SEWER AIN ❑ OPERATION <br /> ❑ STOFM O PUMP STATION �II'' REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VAWE � <br /> . ❑ MAN HQLE . _ <br /> - ❑ CATCH BASIN . , � <br /> � ❑ DITCH . <br /> Location: 3��lJE��S.lr �s � <br /> W.O. Instructio�s:Tp�►R �''�R✓ic� <br /> ESTIMATED ACTUAI <br /> Labor(hours) . _ Labor(hours) . — <br /> Material(cost) . Material(cost) . <br /> Equipment (cost) : Equipment(cosq : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME �,IP� <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE <br /> �� <br /> Completio�(Date): �- 7�5� Cost:S � <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: Z�P�. <br /> Invoice No.: Amount:3 Date: <br /> �ns � <br />