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DEPARTMENT OF PUeLIC WORKS <br /> ' �' 7473 <br /> � ' •• UTILITIEB DIVISION <br /> t � W.O. Na <br /> � �q�� �� ��� Acct Na L7 T- �� 9' <br /> ����N WORK ORDER omp�a�nt Na _� <br /> � Date: �- 1 ) � �f WATER '�'� � <br /> I Q1 SERVICE MAINTENANCE <br /> O SEWER Q MAIN <br /> O STORM � OPERATION <br /> ❑ PUMP STATION ❑ REPAiR <br /> � ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> � O VALVE ' <br /> � � . � <br /> ; ❑ MAN HOLE <br /> , <br /> ❑ CATCH BASIN <br /> � ❑ DITCH �� � <br /> �ocation: � <br /> , E �l����� '�- / G l � ,, <br /> W.O. Instructions:�►L1-���¢�yr�► <br /> ESTIMATED <br /> ACTUAL <br /> Labor(hours) <br /> Maferial(cost) Labor(hours) <br /> Material(cost) <br /> Equipment (cost) : <br /> Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LqgOR TIME S S.J7EMIZE <br /> LABOR, EO��lF:;AENT, AND MATERIALS ON REVERSE SIDE. ,� �;\ <br /> �:..� <br /> Completion (Date): 3 - Z- y'�� <br /> Cost:S <br /> Charge Account Number: <br /> �—Charge Cost To(Name): <br /> Address: <br /> Invoice No.: —Z�p��_ <br /> +isa Amount:S <br /> Date: <br />