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I <br /> CITY OF EVEREIT <br /> DEPARTMENTOF PUBLIC WORKS � �� • 'r' <br /> UTILITIES DIVISION <br /> W.O. No. <br /> Acct. No. —�- 7 � ' �� �/ <br /> UTILITY WORK ORDER Complaint No. <br /> Date: �S��fi1_�a�. LT.'� WATER �SERVICE � MAINTENANCE � <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ 3TORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> C VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH �� <br /> Location: � y'P�" (�–� �� <br /> �.N.O. Instructions: ���� �/�� � � <br /> ESTIMATED ACTUAL �� <br /> Labor (hours) . Labor(hours) . li <br /> Material (cost) . Material (cost) . � <br /> � <br /> Equipment (cost) : _ Equipment (cost) : i <br /> SCHEDULING REQUESTED ' <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE ' <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): l2�Zv � Cost:� <br /> Charge Account Number. Charge Cost To (Name): <br /> Address: _Zip;. <br /> Invoice No.: Amount:S Date: <br />