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DEPARTIM! NT OF_PUBLIC WORKS <br />UTILITIES DIVISION <br />X 17-24-3 <br />s <br />UTILITY WORKORDER <br />Date: /� �/S / 2�_ WATER <br />❑ SEWER <br />❑ STORM <br />Location: / % <br />K <br />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 />ZI) via Ve <br />W.O. Instructions: <br />%'7e%. - 5 3 -23 <br />ESTIMATED <br />GP I-;e/er <br />ACTUAL <br />..�r7,1.0 •,' t 2 y . <br />W.O. No. <br />Acct No. y <br />� Q a�a� �313 <br />Complaint No. <br />MAINTENANCE <br />❑ <br />OPERATION <br />❑ <br />REPAIR <br />❑ <br />CONSTRUCTION <br />I _¢•so <br />Labor (hours) <br />Labor (hours) <br />Material (cost) _ <br />Material (cost) <br />Equipment (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME NS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE %aF,- � may,« lN ` <br />Completion (Dale): <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />__Cost:$ <br />Charge Cost To (Name): <br />F <br />