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f � C:li'Y OF EVEREI'T <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />� - �� - r",- <br />� , . <br />UTILITY WORK ORDER <br />Date: �� �� _ IL� 'NATER <br />❑ SFWER <br />Cl STORM <br />W.O. No. <br />� <br />Acct No. �' � 5 , — <br />Complaint No. -- <br />; <br />,i'� SERVICE ❑ MAINTENANCE <br />C7 MAIN ❑ OPERATION <br />❑ PUMP STATIOv f� REPAIR <br />CI TREATMENT ❑ CONSTRUCTION <br />❑ RGSERVOIR <br />�7 VALVE <br />�� <br />• � - . -�- ��. <br />❑ MAN HOLE I - _ - �o <br />I:1 CATCH BA,;IN � <br />?;%�' i <br />�iC� �- LJ DITCH <br />I�-0f � ��.,�—� <br />I.or,al�on: ---�_�'���—,3J—�� -------- ---- <br />W.O. Instrudion;: ���� U�GG _ <br />ESTIMATED ACTUA� <br />�--- -- <br />Laboi (hours) . _____ —_— Labor (hours) . _ <br />Malerial (cosq __ — ____ Material (cosq . _. <br />Equipment (cosQ : _ _ _ __ Equipment (costl : __ <br />SCHEDULING REC]ULSTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZF <br />LABOR, EQUIPMENT, AND MA�ERIALS ON REVERSE SIDE. , <br />Completion Date : � ( _-.__-- — <br />( ) -- -� _l y —1 - ___ CostS -- - <br />Charge Account Number. ___ Charye Cost To (Name): __ <br />Address ----------.--- -- <br />Invoice Mo.:-_�----------- _ Amount.�--_ — <br />r <br />_Zip: <br />Date: <br />