Laserfiche WebLink
N <br />� ;Ci �''u.. .. ... <br />. ...;�;�: <br />�iB5 <br />[�EPARTMENT OF PUBLIC ViIORKS <br />UTILITY WORK ORDER <br />Date:.���r� �WATER <br />❑ SEWER <br />❑ STORM <br />1�= 4875 <br />UTILITIES DIViSION <br />_ �� W.O. No. <br />2`� <br />X ��� � .� <br />l�, ZI _ 2[�— � /_ /,� _ Acct No. ,� S� � !� <br />��J'.; .!� <br />�� �1 � r'P'� � Complaint Nc. <br />� -- <br />❑ SERVICE <br />GI�MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: ��.? % � � �'� �'�'� <br />w.0 Instructions: �� CY1! ( p �/i✓�C%iG-�% <br />ESTIMATED <br />Labor (hours) . <br />Materiai (costl . <br />Equipment (cost) : <br />SCHEDULIiJG REQUESTED <br />ACiUAL <br />C! MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />C3'�rONSTRUCTION <br />�`�'��� /5 `3 y <br />��L � <br />��YIG)".�.Li �G� <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME �LIPS. ITEMIZ[ <br />LABO13, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Compietion (Date): �i '�l ' 3�� Cost:S <br />Charge Account Number: <br />Address: <br />invoice No.: <br />Charge Cost 70 (Name): _.E'�S �ci0 ��.3% <br />ntS <br />m <br />_ _ _Date: <br />