Laserfiche WebLink
CITY OF EVERETT <br />,' DEPARTMENT OF PUBLIC VUORKS �'�- � 4 G Z <br />UTILITIES DIVISION <br />NL' PcSTI��iC� <br />UTILITY WORK ORDER <br />W.O. No. <br />Acct. No. ��7 3' �� 9 <br />Complaint No. <br />Date: � ��Z3�.S�Y� WATER ❑ SERVICE � MAINTENANCE . <br />❑ SEWER �� MAIN OPERATION <br />❑ STORM O PUMP STATION ❑ REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />� RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />�ocation: � �'������� L �,��/P_ <br />W.O. Instructions: <br />ESTIMATED <br />ACTUAL <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 />Completion (Date) S' L`'f��_Cost $ <br />..1.t.. 4 . . � . � . . . . . <br />. . �.�• �.. � ... . . .. . '. ':.: . <br />Cha�ge Account Numtier. �•' �' Charge Cost To (Name) �` � <br />'.:, .:._� .: :" . _..: ,. ::; . _ _ <br />_ _, . ., .. <br />` Addre� ; ... . . . Zip:. <br />_ ___._..,__.._ - <br />� , . <br />Invoice No.: Amount:$ Date: <br />e <br />