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.r <br />� <br />�� <br />UTILITY WORK ORDER <br />Date: � � 3 5' � � WATER <br />❑ SEWER <br />❑ STORM <br />Location: <br />CITY OF EVERFTT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISI�N <br />i �� _� •, ' "J <br />/ <br />.�SERVICE <br />MA��� <br />❑ PUi. STATION <br />❑ TREhfMENT <br />❑ RESERVOIR <br />❑ VALVE <br />D MP.N HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />I'.._ � V ^ � <br />n� � <br />Acct. No. � 7 Y » � <br />Complaint No. <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />�� �STc.i� ,. <br />�- �•so <br />W.O. Instructions:.�'Lt �Yi l� S t/TL-� �/ `j i� � f �f i" <br />rP �. ! (fi` ST�7�tiy <br />F/y99/ c Y�'�'�, �"/ �� 7%i/ 1 j�1 aiS�i � <br />TC� <br />Ii".137'�liDvv .Z ' � /'.t�s .�N �� <br />„��'S b <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />^�J �P/ ul ��� <br />CNAti�c-r�ij TU <br />3��1-� Si1:U1f � <br />SCHEDULING REflUESTED <br />ACTUAL �./� <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />USt CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date;: <br />Charge Account Number: <br />Address: <br />Invoice � <br />ies <br />Charge Cost To (Name): <br />ount:$ <br />