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i <br /> _.� --- - <br /> i <br /> ��;,�,t , <br /> • . . <br /> " ' ' ' ' " CITY OF,EVEREIT <br /> � �• !�; 4637 <br /> . DEPARTMENT OF PUBLIC WORKS <br /> ' � UTILITIES DIVISION �y.p. No. <br /> Acct No. � � � ��� <br /> Complafnt No. <br /> UTILITY WORK ORDER <br /> • Date: � � WATER ❑ SERVICE O MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT fS�'_CONSTFUCTION <br /> � ❑ RESERVOIR <br /> ❑ VAWE � <br /> � ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> , ❑ DITCH <br /> Locadon: �►s./---�—� ��" <br /> ' W.O. Insiructions: <br /> 1 <br /> � <br /> 4.' � <br /> a� <br />, /��.�.j', <br /> ! ', / � Q <br /> i <br /> ! � <br /> L- <br /> ,d �p� I . <br /> .,. ,� <br /> j ,:/ �:- <br /> � ' . ��, <br /> 'i <br /> ESTIMATED ACTUAL <br /> L�� Lebor(hours) . <br /> Labor(hours) <br /> �i� Material (cost) . <br /> >; Material (cost) . <br /> Equlpment (cost) : EquipmeM (cost) : <br /> �." SCHEDULING REQUESTED <br /> LABOR, EQUIPMENTUAND MABERIALS ON REVERSE SIUE. E SLIPS. ITEMIZE <br />' Completion (Dete): _��S — �� CoskS <br /> Cherge Account Number. Charge Cost To(Name): <br /> Zip: <br /> Address: <br /> Invoice No.:_ <br /> Amount:S_ Date: <br /> � <br />