Laserfiche WebLink
" �� ` CITY OF EVEREri <br />�+ . . DEPARTMENT OF PUBLIC YVORKS '. ' °-- � ' �5' � <br />UTILITIES DIVISION <br />� .1 W.O. No. <br />_�_ � % — , —� c/ � �� <br />�as':. -- -Tl8 9 a��t n�o. 6� _ <br />;�o r�„�i �� ; <br />UTILITY WORK ORDER Complaint No. _ <br />� .�/npfP.r CT�a�,9v cu.T <br />�ate: `'��'�`� G}� WATER ❑ SERVICE XY MAINTENANCE <br />❑ SEWER O MAIN � OPERATION <br />❑ STORM ❑ PUMP STATION ❑ REPAIR <br />location: � � <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVUIR <br />❑ VALVE <br />O MAN HOLE <br />❑ CATC�� BASIN <br />❑ DITCH <br />i3Ro,� d wa �i <br />� `J <br />W.O. Instructions: <br />��4 n,P o cc7— G" /7 FjI,$P� /i7 Pf'P/� <br />�uT /�./ G '� ��c°C�/ Si�o�i ��oi,, j�ou n �i�'`� c��C/'� _ . <br />��� . <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />_ -� i <br />'H+c-=� <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): `S �6 ! � � Cost:S <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />� <br />Invoice No.: Amount:5 —Uate: <br />