Laserfiche WebLink
• _ ;, � CITY OF EVERE7T ; ; , 739g <br /> DEPAHTMENT OF PUBLIC WORKS � ��,_^ ,_y- <br /> UZILITIES DIVISION W.O. Na. <br /> . ' ��"�� _ Accl No. � �c. I 1 u <br /> �`���. / ' Complaint No. <br /> U7ILITY WORK ORDER ��"� .{,; • :" � <br /> _�.. - � <br /> Dete: �__ � �NATER �6ER�tCE• .= :.�`MAINTENANCE <br /> .�:= <br /> � SEWER � MATN `" n' '"i7' OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VAIVE <br /> i ❑ MAN HOLE <br /> i ❑ CATCH BASIN <br />, ❑ DITCH <br />' �,_,e��'r��y�ve <br />' Location: <br />; <br /> W.O. Instructions: � � <br /> .� . � 7 � �f ���_._ <br /> ; „ <br /> ,� <br /> - � --� <br />! � E. .; re h <br /> I <br /> � \ � . <br /> 1 <br /> ESTIMATED ACTUAL <br /> Lebor(hours) . Labor(hours) . <br /> Material�cost) . Material (cost) . _ <br /> Equipment(cost) : Equiprtient (cost) : <br /> SGHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZ\ <br /> LABOR, EQUIPMENT, AND MATERIALS UN REVERSE SIDE. �„� <br /> Completion(Date): � � � Cost:$ <br /> Charge Account Number. Charge Cost (Name): <br /> Zip: <br /> Address: <br /> Invoice No.: <br /> Amount:$ _da�e: <br /> �ies <br />