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UTILITY WORK ORDER <br />CITY OF EVEREIT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION yy.0. No. <br />v�'� 1=r»ten - �10 -;v�nirS F?EQ, <br />Date: tj_; 'i } ) � WATER <br />❑ SEWER <br />❑ STORM <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />O TREA7MEYT <br />O RESERVOIR <br />❑ VAIVE <br />❑ MAN NOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />7589 <br />I�� <br />Acct. No. � � � <br />Complaint No. .—� <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />� CONSTRUCTION <br />1-�� 7 ,6cf:t/�L� <br />Location: �-+-� <br />r,y ✓F ��. �i�.�P �'0 f UC �T ���l�r � <br />W,p. Instructions: �� � <br />ESTIMATED <br />Labor(hours) • <br />Material (cost) • <br />Equipment (cosq : <br />Labor (hours) • <br />Material (costj • <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIM SLIP�EMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. ��r �� <br />Cost:S <br />Completion (Datei: . � <br />Charge Cost To (Name): <br />Charge Account Number: <br />Address: <br />Invoice No.: -- <br />�iss <br />Date: ---- <br />ount:$ <br />