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' CITY OF EVERE7T 7 5 6 g <br /> F DEPARTMENT OF PUBLIC WORK� <br /> UTILITIES DIVISION yy.p. No. <br /> � � � I Acct No. � % � � � r� <br /> r � ;_� ti -`"� i�Jt4t�15 <br /> , �_v� _ 1 lo Complaint No. <br /> UTIUTY WORK ORDER '" "'�' r'-� ' <br /> Date: � I- �l- I y � WATER � SERVICE ,� MAINTENANCE <br /> ❑ SEWER � MAIN ❑ OPERATION _ <br /> O STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BAiIN <br /> ❑ DITCH <br /> Location: �62� ��rAYE � � - <br /> W.O. Instructions: �E �G�'r'� ��T���`� J , <br /> il <br /> 1I <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING FEQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME ,LIPS. ITEMIZE <br /> LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. �.��� <br /> Completion (Date): n'`� ����� Cost:$ <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: _ <br /> Zip: <br /> Invoice No.: Amount:$ —Date: <br /> i ies � <br /> p� <br />