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�i i r �r crcnc i i <br />. J(��� DEPAFTMENT OF PUIiLIC WOAKS <br />c <br />"JTILITIES DIVISION <br />. � � / ~�' I �/ <br />D �s ��r� n, rtis <br />UTILITY WORK ORDER `��a� �E� • <br />�. / I 4 U <br />W.O. No. <br />Acct No. �7 r� � � y <br />Complatnt No. <br />Dete: 13' '_� WATER �� SERVICE O MAINTENANCE <br />O SEWER O MAIN ❑ OPERATION <br />❑ STORM ❑ PUMP STATION .�REPAIR <br />O TREATMENT ❑ CONSTRUCTION <br />❑ RES=RVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />�ocation: _ ��6 � S't SE <br />W.O.Instructions: RGi��,t' SGoPVI� <br />ESTIMATED <br />Labor (hours) . __ <br />Material (costl . — <br />Equipment fcost) : _ <br />SCHEDUIING REOUESTED <br />ACTUAL <br />Labor (hours) . _ <br />Material (cost) . <br />Equipment (cost) : <br />USE CNiARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS�ITEMIZE <br />LABOR, EOUIPMENT, ANO MATERIALS ON REVERSE SIDE. ��� <br />Completion (Date): � � �3 �-�--CostS <br />Charge Acco �nt Numb� r: <br />Address: _ <br />Invuir,e No.: _— <br />ves <br />Charge Cost To (Name�: <br />Amouni:$ Date: _ <br />