Laserfiche WebLink
+. <br />UTILITY WORK ORDER <br />Date: `» ^ � \ WqTER <br />� � �y � ❑ SE`NER <br />�—_! <br />❑ STORM <br />Location: __ J'�Q �� <br />W.O. InstruCtions: <br />ESTIMATED <br />L� :,or (hours) <br />Material (cost) , <br />Equipment (cost) : <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISIOIV <br />% : /-._ -_ <br />�C� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />�7 MAN HOLF. <br />❑ CATCH BASIN <br />O DITCH <br />ACTUAL <br />i: _��i_.%� _ i <br />��{�' 8360 <br />Vd.O. No. <br />Acct. No. L� J" �� 9 <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />�YREPAIR <br />❑ CONSTRUCTION <br />labor (hours) . <br />Material (cost) . <br />Equipment (cost) : _ <br />SCHEDULING REQUESTED <br />: USE CHARGE ACCOUNT NUM6ER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EpUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />;,; Completion (�Date): S�1 L ��f Cnst:$ <br />�Charge Accounf �umb=r. Charge Cost To (Name): <br />:.,: _ . <br />• ,.i:. <br />Address" ' ` <br />Invoice No.:_ _.Amount:S <br />,n� <br />y <br />_ '� <br />