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DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: LL- 2 A -66 ❑ WATER <br />-0—SEWER <br />❑ STORM <br />Location: aqi! Ro(,k�' ►- <br />W.U. Instructions: <br />DA l h Siaf� <br />►� C <br />J I f <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) — <br />RCHFntn ING REQUESTED <br />,E- SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />erTl IAI <br />W.O. No <br />Acct No. 42 + S- /O 9 <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />,;g—REPAIR <br />❑ CONSTRUCTION <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): <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />Iles <br />Cost:S <br />_Charge Cost To (Name): <br />Amount:S <br />C <br />