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� h <br />•, <br />1 <br />CITY OF EVIiRET <br />DEPARTMENT OF PU!?LIC WORKS <br />UTILITY WORK ORDER <br />� Date: S —� ' 8 / �Q VJATER <br />❑ SEWER <br />❑ STORM <br />i Location: <br />W.O. Instr� <br />.:av <br />UTILITIES DIVISION <br />z 30—? ?-5 <br />J�IC "0-;1.VC- ���=C <br />❑ <br />l"� <br />❑ <br />❑ <br />O <br />❑ <br />❑ <br />� <br />❑ <br />SERVICE <br />MAIN <br />PUMP STATION <br />TREATMENT <br />RESERVOIR <br />VALVE <br />MAN HOLE <br />CATCH BASIN <br />DITCH <br />� 1.� <br />l% � <br />�;.� H� <br />� 1�� � ' � . . . <br />w.o. rvo. _� 73 -//9 <br />Acct. No. <br />Complaint No. <br />O MAINTENANCE <br />O OPERATION ' . <br />� REPAIR <br />❑ CONSTRUCTION <br />._. . �.._ <br />ESTIMATED <br />Labor(hours) . <br />Materiai (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING RE�UESTED _ <br />USE.CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR,.EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): ��Ci�i� Cost:� <br />� ;. = <br />'F Charge Account N.umber: Charge Cost To (Name): <br />ri: <br />- 'Address: 'ZiP. <br />Invoice No.: Amount:3 Date: <br />