Laserfiche WebLink
CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />Sr'7 ZQ _s W.O. No. <br />NO Acct No. <br />UTILITY WORK ORDER <br />Date: Cf— I y S_q 4:11� WATER <br />❑ SEWER <br />❑ STORM <br />SERVICE <br />❑ <br />MAIN <br />❑ <br />PUMP STATION <br />❑ <br />TREATMENT <br />❑ <br />RESERVOIR <br />❑ <br />VALVE <br />❑ <br />MAN HOLE <br />❑ <br />CATCH BASIN <br />❑ <br />DITCH <br />Location: ;°Ily B r•Y6AOIV f?L!'') <br />W.O. Instructions: 1-04t, C A.3 C u i-ly X rK <br />ESTIMATED ACTUAL <br />Complaint No. <br />.7( <br />MAINTENANCE <br />❑ <br />OPERATION <br />❑ <br />REPAIR <br />❑ <br />CONSTRUCTION <br />Labor (hours) <br />Labor (hours) <br />Material (cost) <br />Material (cost) <br />Equipment (cost) <br />i <br />Equipment (cost) <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): q,-t y''? q Cost:$ <br />Charge Account Number: <br />Address: <br />Charge Cost To (Name): <br />Invoice No.: Amount:$ Date: <br />35 <br />