Laserfiche WebLink
' ' � CITY OF EVERETT .. ;?�-'� <br /> �� �S`� DEPARTMENT OF PUBIIC WORKS <br /> �y � I- 2 �;- 5 <br /> UTILITIES DIVISION W,p. No. <br /> • Acct No. 1 7 ` � �`r <br /> Complaint No. <br /> UTILlTY WORK ORDER <br /> Date: �- z �' fi7 � :NATEF ��' SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION j� REPAIR <br /> ❑ TREATMENT � CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE � <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: ��� ��y �/ +r)��'� � �I �I tl7 ) <br /> W.O. Insiructions: �� � � 5 �-s91-� �f <br /> ._--- -7-� �. �,�,/� • <br /> /1 Zr'if ' ' C�L ' '• r �CI-�;ri' \l� �-�- �X;.� <br /> _ I <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (costl . _ Material (cost) . —I i <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW �OR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EOUIPMENT, AND NiATERIALS ON REVERSE SICc. , <br /> COmpIBDon (Date�: �� ' � %� Cost:S <br /> Ctiarge Account Number: _Charge Cost To(Name�: <br /> Address: —Z��� <br /> Im-oice No.: Amount:S _Uate: <br /> i�es <br />