Laserfiche WebLink
i <br /> . <br /> CITYOFEVERETT w�_------ - -- <br /> DEPARTMENT OF PUBLIC WOiiKS 1° 9161 <br /> UTILITIES DIVISION <br /> W.O. No. — <br /> rr� _ � :� 6 � r � Acct. No. �.7 S• 1!C/ <br /> T l l r�1 r.�, � G / ; -, <br /> � Complaint No. <br /> UTILITY WORK ORDER <br /> Date: 2'�3 �ID ,� WpTER f� SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> G STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> O VALVE <br /> ❑ MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH - <br /> Location: � �� �� R���!)n /G/��/ � <br /> WA. Insiructions: �� � i J2 ! o� =�1'�rP✓r r.� _ <br /> I <br /> ESTIMATED ACTUAL I <br /> Labor(hours) . _ Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : _ Equipment (cost) : <br /> i <br /> SCHEDULING REQUESTED I <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR�LABOR TIME SLIPS. ITEMIZE ' i <br /> LABOR, EQUIPMENT, AND MATERIALS ON. REVERSE SIDE - <br /> comp�etirn (�ate): 'z'lyq� � cosi:� -• <br /> Charge Account Number. Charge Cost To (Name): <br /> _ � <br /> Address: Z�P� <br /> A' <br /> Invoice No.: AmounC�._ Date: <br /> 1/B5 <br /> 1 <br />