Laserfiche WebLink
:1 . ' . . . . . . r 't- ..�. <br /> '+'� 1 i�.LT1..�'_t�w,e, x-.?+Aq�hr-FLv� . t�..t �t,`y,"M Y�. �P�, ..: . � -.:. ....�' '� .. �l.'.j✓, SrW 4 4":�'+a�S2� - v7(�►t'rqtuY�Y/3vM�•. <br /> � -.c's„� . � . ,' _. _`: CITY OF EVEREIT .: , . r�,r�: .:.. . , <br /> .� ;; �.� r, . ,. , . i�� C 6 6� <br /> : ` �{,�. • � �. , � DEPARTMEN�OF PUBLIC WORKS . �, ��.�i � <br /> y�t e . . �:t� � .-..t �, ._.. ' a � .' f z • � i�,Iv�f ! <br /> .{'.�S.✓�,,�,6.i• k��. '`�"a -t�'.t�--+. .�"�4-.. . . . . i �v...� � � r��. a- + t <br /> �% �.�t�.yx�.�=v. ,t � n•�- E "'^UTILITIES DIVISION . �` t'`�'."�'"` r ' �'' <br /> .��."f-•sd�,iir�:»K7P-wa cs�uvh"N�NeM.. . +'1�'Cy..L1J,i r, la�;.L � t..P � W� �NO }i�+`,}N�3i�'�.^S ?FJwtC�}'� �t <br /> N <br /> � <br /> w. . y . .. . . . � . <br /> � ! ' �} . . ' . '� . '41 <l'� � . <br /> �. �� Ri7 � a C^ ?� Z�f � �� � .. AGCLNO ' L7�S' ' � �i ` - <br /> � . <br /> . t , �—p. `` ,<�+ <br /> . v �f aW' Yi� . .,t r c . '' .;���/� ] ��-I�+O ��r�7 .. �._S�x t ...� . <br /> ., .;�..�. . ..�,_..:.� ...__ ' .".�. <br /> .._. ._ ... � � <br /> . _ _ Complaint No � <br /> - : UTILlTY WORIC ORDER .. ..__._ :. — •- -- ___ .. : _ _. <br /> . _. .. _ . <br /> -Aate ,�-� �.. G� .a.. J <br /> � . :__�. _ . _ . , ._ <br /> � y� WATER : �SERVICE MAINTENANCE . ' <br /> -� - - - ---;..❑ SEWER _ _.- ---❑ MAIN .. � -OFERATION . _:: <br /> T _ ��❑ �STORM • ❑ PUMP STATION ❑ REFAIR >� _ ` . <br /> :.. . _ <br /> :. :;'___.___-_ :._.. . . - -- ❑ TREATt�tENT O CG'd5TRUCTION "` --- , <br /> �-. - '-. _ �' ❑. RESERVOIR `` :, � <br /> _ . _ , t <br /> , . . : . � ... . .. <br /> . .. <br /> . ❑ VALVE -: . ;: ; , � <br /> . O MAN HOLE ' I <br /> � � ❑ CATCH BASIN - <br /> ❑ DITCH . - <br /> �oca4ion: J D 2 � 3 �V��?G A'�v��i l�N� � <br /> . <br /> W.O. Instructions:_ i`' 1 O Lv� GNG�I S rirPl�i � F��' vS 6 AG� � <br /> � PP�'�2 sii56 <br /> S �kY� � '� /o . . <br /> < . .. _., . <br /> ESTIMATE� ' � ACTUAL ' ' <br /> _. .. . _.. . ,,. <br /> Labor(hours) : ' <br /> � Labor(hours) : <br /> Material (cost) . Material (cost) . _ <br /> Equipmenf(cost) -: Equipment (cost) : _ <br /> . ...., . . _.. . , : _ . <br /> . ... :. .. <br /> - SCHEDULING REQUESTED �- - ` '' ' ' " ' <br /> USE CHARGE ACCOUNT NUMBER'BECOW FOR.LABOR TIME SLIPS. ITEMIZE � <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE �" ` '' <br /> � ! • ` <br /> CompletionjDate): ''6 �� �� Cost:$_ <br /> . ' •—�- . . <br /> �`Cfiarge Account Number. `' Charge Cost To (Name): . ' .� <br /> „ . <br /> , :, <br /> . Address . :.�. .. .., ; ' <br /> '� : <br /> ',� •..•.: . :.. . ..:. . . �.:, . . .. <br /> Zip r ^ <br /> . . . . . . r� ' .. <br /> 'Invoice No.: �Amount:$ � Date ' <br /> ,:s • . _ <br />