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... � � ...- .:..�,�� . =�;-Jr�Mr ` / / 44 <br /> DEPARTMENT OF PUBLIC WORKS <br /> :JTILITIES DIVISION <br /> W.O. No. <br /> . Acct Na �� r- J�q <br /> UTILITY WOR�C ORDER Complaint Na - <br /> Date: � � ��d''� � WATER 1� SERVICE �MAINTENANCE <br /> ❑ SEWER ❑ MAIN � ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE . . • <br /> '. � ❑ CATCH BASIN <br /> ❑ DITCH <br /> location: �.�l���l,lN�'E y/�l(/,�i� <br /> W.O. Instructions: Gf/l�f•l'!�G' SErP✓1 G� FLR'r'7ro /1����P <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Materiai(cost► . Material (cost► . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTEO <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LA80R TIME �LIeS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. ��„���`� <br /> • � �� <br /> Completion (Date►: �' ��" �'r CostS <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: Zip: <br /> Invoice No.: Amount:$ Date: <br /> ves ' <br />