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'� <br />��.: - . - <br /> . .. cirr oF �vEnerr <br /> DEPARTIYIENT OF PUBLIC WORKS <br /> �'^ 2455 <br /> � UTILITIES DIVISION <br /> W.O. Na _ <br /> Acct Na ��� 5 � 1� <br /> Complaint No. <br /> UTILITY WORK ORDER <br /> Date: 1� � '� � l� WATER f� SERVICE ❑ MAINTENANCE. <br /> ❑ SEWER ❑ MAIN E� OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR ! <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> I ❑ AtSERVOIR <br /> O VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ;7 DITCH <br /> � <br />� Location: ��I171 S .2 i/ �y �- f I�L <br /> W.O. InsU�. ,. .�s: I CC 11 77-� CG-� �3 S � Z'/' <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br />� Material (cost) . Materiai (cost) . <br />� Equipment(cost) : Equipment(cost) : <br /> � SCHEDULING REQUESTFD _ � <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, A D TERIALS ON REVERSE SIDE. <br /> Completion (Date): Cost$ <br /> Charge Account Number. Charge Cost To(Name):_ <br /> Address: Z�p' <br /> Invoice No.: Amount:$ Date: <br /> � iie� <br />