Laserfiche WebLink
,t,.. . _..:w�<�•`4:..�+w.r..•a- • ar�.�.�.. . . . . .. . .. . . . <br /> '� <br /> � ' CITY OF EVERETT <br /> _ � . <br /> • DEPARTMENT OF PUBLIC WORKS • �- ��� <br /> Y <br /> UTILITIES DIVISION <br /> � �� W.O. No. <br /> t : � J <br /> , �� j'"'� � �` Acct No. �O�J S� / ° `j <br /> � � Complaint No. <br /> UTILITY WORK ORDER <br /> Date: - 5'g ❑ WATER �B' SERVICE ❑ MAINTENANCE <br /> �8' SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORA4 ❑ PUMP STATION .� REPAIR <br /> O TREATMENT ❑ CONSTRUGTION <br /> ❑ RESERVOIF <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: 'y �/ � � Gv� � <br /> W.O. Instructions: <br /> ��_�!/ ,�d�� <br /> _�ur'n/ �a•% �iDrrL • 1 � 1.��'7 <br /> � • i5'� � d0 , o � Br /' .. <br /> �i�e7�P� ,n��e, .�t.✓ar` — <br /> f . <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cosq . Material (cest) . <br /> Equipment (cost) : Equipment(cost) : <br /> SCHEDULING RE�UESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): Cost:$ <br /> Charge Account Number: Charge Cost To(Name): <br /> Address: Z�p: <br /> Invoice No.:_ Amounl:.S Date: <br />