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i <br /> cirroFEveRerr �= 7746 <br /> DEPARTMENT dF PUBLIC WORKS <br /> UTILITIES DIVISION <br /> �l�o, t�'S L W.O. No. — <br /> ' Tv M t��S , <br /> _ ._, -= Acct Na �7 � ' � � g <br /> . J ' �. - `� ' . <br /> Complaint No. <br /> UTILITY WOWK ORDER <br /> Date: �_� �r WATER l� SERVICE S� MAIMTENANCE <br /> CI SEWER ❑ MAIN ❑ OPERATION <br /> C� STORM ❑ P11MP STATION ❑ REPAIR <br /> ❑ TREATMEN'T ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> Cl MAN HOLE � <br /> ❑ CATCH BASIN <br /> � DITCH <br /> � <br /> Location: _(�J� — [� ST <br /> W.O. Instructions: �{I��-E,X���� ��!� �w 2"� s' G�✓i �C <br /> '�'�y �-t'l� L 4 E�._ <br /> ESTIMATED ACTUAL <br /> Labor (hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NURIBER BELOW FOR LABOR TIME LIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATEr^,IALS ON REVERSE SIDE. ��,, <br /> t -� <br /> Compietion (Date): ��'u '-8$ —Cost:$ <br /> Charge Account Number. Charge Cost To(Name): <br /> Address: Z�P� <br /> Invoice No.:_ Amount:5 Date: <br /> i ias <br />