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CITY OF EVF.RETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />� �–�8�� <br />�US�� — �/1'7 <br />�'� o v1 '�-I i� 1� <br />UTILITY WORK ORDER <br />Date: 5 " � � � � � WATER <br />p SEWER <br />❑ STORM <br />Location: <br />W.O. Instructions: <br />ESTIMATED <br />L�bor (hours) <br />Material (cost) <br />Equipment (cost) <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ T^EATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />i��:� 8389 <br />�� • . <br />Acct. No. 1-7 �" � � � — <br />Complaint No. <br />❑ MAINTENANCE <br />O OPERATION <br />`H' REPAIR <br />❑ CONSTRUCTION <br />ACTUAL 3 }-iR 5 <br />Labor (hours) • <br />Material (cost) . <br />I Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME S�IPS. ITEMIZE <br />LABOR, EQUIPMENT, .4ND MATERIALS ON REVERSE SIDE. <br />_ s � I 0 'rg c%._.—.Cost:� <br />Completion (Date�: <br />Charge Account Number: �--=—Charge Cost To (Name): <br />Zip: <br />Address: <br />Invoice No.: <br />Amount:5 _Date: <br />