Laserfiche WebLink
Y <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />Ul'ILITIES DIVISION <br />� � �-Z:s- -� <br />I 2/$� �'�= '� i�. <br />• • - � • � � \ T I •1 ♦ • � <br />i� n�r^ <br />, .._ _ <br />W.O. N o. _ <br />ACCL No. <br />` 7 1�' 1 J <br />Complaint No. <br />UTILITY WORK ORDER <br />Date: 1�-� �� \� WATER � SERVICE ❑ MAINTENANCE <br />i7 SEWER C MAIN ❑ OPERATION <br />❑ STORM "�7 FUMP STATION C� REPAIR <br />❑ TFEATMENT ❑ CONSTRUCTION <br />❑ RESEHVOIR <br />❑ VALVc <br />O MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: 7��' L� l� � YG:P� ��A� <br />WA. Instructions: ��'����'�� S �'��C� <br />ESTIMATED <br />Labor (hours) . <br />Material (cosry . <br />Equipment (cost) : <br />ACTUAL <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REOUESTED <br />USE CHi�RGt ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />Ll,B�R, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. • <br />Completion(Date): �f �i��� Cost$ <br />� <br />Charge Account ��umber: <br />Address: <br />Invoice No.: _ <br />u <br />_Charge Cost To (Name�: <br />unt:5 <br />te: <br />