Laserfiche WebLink
.! • .. . � '� r •Y '+"4i•?i '1 " ' <br />� � ' CITY OF EVERETT ' <br />� DEPARTMENTOF PUBUC WORKS ' •• �400 <br />= UTILITIES DIVISION <br />; W.O. No. <br /> u . <br />;y ��4r J`� Acct No. �,_ 7 S � � `/ <br />�� c0 <br />'' n Complaint No. <br />`; UTILITY WORK ORDER <br />� Date: ' ��' �' WATER � SERVICE f� MAINTENANCE <br /> e <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br />� ❑ STORM ❑ PUMP STATION ❑ REPAIR <br />� ❑ TREATMENT O CONSTRUC':ION <br />� ❑ RESERVOIR <br />;: ❑ VALVE <br />�� ❑ MAN HOLE <br /> ati <br />;% ❑ CATCH BASIN <br />� ❑ DITCH <br /> Location: 3 � z I L [. O/� /T _ <br /> W.O. Instructlons: :11�l�i C ✓�'$ C T,:'1' -t �' /�Cl�� Gn > i��- 1/ IILIC <br />� <br />�' <br />�4 <br /> Y <br />�{ <br />� <br />! <br />,TM��. <br />!JI <br /> n <br /> aS <br />� <br /> S <br /> 5 <br /> 11 � <br /> r <br /> t� <br /> FSTIMATED ACTUAL <br /> w. <br />!� Labor(hours) . Labor(hours) . <br />�; Material (cost) . Material ;cost) . <br /> rEquipment (cost� : Equipmenc �cosq : <br />� <br />� SCHEDULINC REQUESTED <br />'` USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITGMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />� Completion (Date): ��Z�y Cost$ <br /> Charge Account Number: Charge Cost To(Name�: <br /> Address: Zip: <br /> Invoice No.: Amount:S_ Date: <br /> �ies <br />