Laserfiche WebLink
CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />�JD �G'�TI���C�C <br />W.O. No. <br />Acct. No. L7 3- �� 9 <br />Complaint No. <br />UTILITY WORK ORDER <br />Date: ��� Z 3�.5'Y� WATER ❑ SERVICE � MAINTENAP�lCE <br />❑ SEWER � MAIN OPERATION <br />❑ STORM O PUMP STATION 0 REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />O RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />Location: �.�� �����-�{IVP <br />W.O. Instructions: <br />ESTIMATED <br />ACTUAL <br />84G2 <br />Labor (hours) . Labor (hours) . <br />Material (cost) . Material (cost) . <br />Equipment (cost) : Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />. - <br />CompleUon (Date): ' S�`"f��� Cost:$ -- - <br />C'harge Accourit Number: " Charge Cost To (Name): ' � <br />.� '. ' . . _ <br />, .: <br />:� . . <br />_. .._ -, <br />" Aririiosc ...' � � '� � ' . _. _ . � � Zip:_. <br />Invoice No.: Amount:S <br />