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. � �; eirr oF eveRen 717 p <br /> DEPARTMENT OF PUBLIC WORKS �y� �+y��,� <br /> 11TILITIES DIVISION yy.0. No. ' <br /> Acct. No. � > > � � y <br /> Complaint No. _ <br /> UTILITY WORK ORDER <br /> Date: � �� � � l� �NATER � SERVICE ,,� MAINTENANCE <br /> ❑ SEWEF ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STFTION ❑ R£PAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOI�' <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASlN <br /> ❑ DITCH <br /> Locati�n: �5�8— b�AV� 'f�- <br /> W.O. Instructions: �—��s—�'��T���L��--��'� <br /> i <br /> ESTIMATED ACT�AL 7K-.S <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . — Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE A(;COUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, E�UIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): � J� � 8 / Cost:� <br /> Charge AccouM Number:_ ' Charge Cost To (Name): <br /> Address: Z�p� <br /> Invoice No.: Amcunt:$ Date: <br /> �ies <br />