Laserfiche WebLink
CI-I'i U` ��i:=:ic�i�l� <br />DEPARTy1ENT OF PUBLIC �VORKS <br />UTILITIES DIVISION _ <br />UTlLITY WOR� ORDER <br />Date: LCc�-� %'� � G'��'JATER <br />❑ SE4VER <br />❑ STORM <br />��5'.e'i.����ei <br />�ocation: <br />�' ,SERVICE <br />L h1AIN <br />❑ PU�1P STATION <br />u TREAT�,tENT <br />❑ FESERVOIR <br />❑ VALVE <br />G Iv1AN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />w.o. �vo. i _32 �9-5 <br />Acct. No. �.' ' � �� <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />��REPAIR <br />❑ CONSTRUCTION <br />W.O. Irstructions: —p��JCL�Lc�P��' a-C'�"�' U`1£�� fLL�1P��L�✓ k-S! <br />Eb'���.P / <br />5. -j z� � I i� - Z/-i R S <br />; <br />�- Ilr.�-�( C-! ��:.^�'�vt . Z-�3� � l�� <br />-� --� - <br />cSTIMATED <br />� Labor (hours) <br />Material (cosq <br />Equipment (cost) <br />ACTUAL � ��S <br />Labor (hours) . <br />Material (cost) <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />_ ; <br />USE CHARGE ACCOUNT NUMBER BELOVV FOR LABOR TIIvIE SLIPS. ITEMIZEv <br />LA60R, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �;�,.,., •.;,.'., ,;, •, <br />Completion (Date): IO"Z%-�� � Cosi:S _ <br />Charge Account Number. <br />Ad�ress: <br />InvoiC� N <br />Charge Cost To (Name): <br />mount:� <br />D:, t e: <br />