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Y��4F <br />, , . , . , CITY'OF;EVF�RE,TT <br />„ � � � DEPARTMENT OF PUBL'IG�WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: � / �gyWqTER <br />❑ SEWER <br />❑ STORM <br />�' N y d <br />❑ SERVICE <br />❑ MAIN <br />❑ PUMP STATIO <br />rJ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />O MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />.� I.' . . ,,, .,��ii.,!_..�.rt�:.•tct:Yfl`;: <br />�/ al-�9~� <br />_ �-�� :sa$�; t�' <br />S� Ir.. <br />W.O. No. <br />A��t. No. // 9� 6 7 7` <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />N ❑ REPAIR <br />LRf CONSTRUCTION <br />�i �nC <br />Location: _��' UMMi '� <br />W.O.Instructions: /.��i�..'9L� ���t �lC,t..L <br />n �� <br />�0.5 TLc D <br />I -5-� <br />/ <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEUULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOA LABOR TIME SLIPS. ITEMIZE' <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE, <br />Completion (Date): � � � O / Cost:$ ' <br />'�. <br />•! Charge, Account Number. Charge GoSYTo7Name): � <br />,.. i <br />Address: Zip: <br />Invoice No.: ___ Amount:� __ Date: _ <br />/B5 <br />u <br />