Laserfiche WebLink
. r.. CITY OF EVERETT , •- 7,� 3 <br /> DEPARTMENT OF PUBLIC WORKS <br /> /�/ /7- 2 9';5 ' i� <br /> UTILITIES DIVISION „�_o �C - ,. � <br /> W.O. No. <br /> . Acct No. 1-?1 �"� ' <br /> UTILITY WORK ORDER Complaint,No. <br /> �i–y3;��t�c.;� �..� <br /> Date: �1- <O � <br /> '1 �21 WATER -ff]" SER�11�E � MAINTENA CE �~ rn�_„ <br /> ❑ SEWER O MAIN ❑ OPERATION �� <br /> ❑ STORM ❑ PUMP STATION �, REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> /�j�/C��r_ ��� ❑ RESERVOIR <br /> ���� ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> �y ❑ DITCH <br /> � <br /> Location: 1 � ��.� � I:�'���n u..i;i <br /> W.O. Instructions:_<.—I�i� I�l� S'�'P�����' <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Matarial (cost) . _ Material (cost) . <br /> Equipment (cost) : _ Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER EELOW FOR LABOR TIME SLIPS.,ITEMIZ[ <br /> LABOR, EQUIPMENT, AND MATER!ALS ON REVERSE SIDE. _,�._,.;;:,; <br /> Completion (Date�: _lu=�Lv�� Cost:F _ <br /> Charge Account Numher. __.Charge Cost To(Name�: <br /> Address: —Z�P� <br /> Invoice No.: Amount:5 Date: <br /> vas <br /> — — -- - -- — -- —�1 <br />