Laserfiche WebLink
1 ' � . . . .i w� y� .. .Y � . . .. � < .�.�?.: �:� •. .. . <br /> � . f•. :.�': r <br /> ..:. . '� .. •.-�:T �. .., . �' . . . . . <br /> . _ ` , . . : CITY OF EVERETT . . , _ r„ :;:: : . . <br /> r , : . <br /> • � DEPARTMENT OF PUBLIC WORKS ' P�,� 86�0 <br /> ._... , _ t :.:.�_.; . . . _. <br /> �� UTIUTIES DIVISION : , ' ;;; <br /> • - . WONo. <br /> P3/—Z}-S Acct. No. L �'.T<� /)y <br /> UTILITY WORK ORDER Complaint No. ' <br /> Date: �' 7� �] WqTER �J SERVICE � MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP ST,4TION ❑ REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE ��No =-o;Tr,�6 �� <br /> G ❑ MAN HOLE s <br /> ❑ CATCH BASIN <br />' ��,, ❑ DITCH <br /> Location: � ,'� � �f`J 9 FOWI.EiP J� <br /> � <br /> W.O. Instructions: ����[��� �wY�� �X yr ��i7-�/ <br /> ��tiE.��� �� ��c� �fi,� Td�"f sre-� Kr� <br /> ��s�_ �,e-�-e� ����+ i ' <br /> . ; . <br /> ESTIMATED 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 Iv1ATERIALS ON REVERSE SIDE. <br /> Completion (Date): ��'� �F� Cost:S <br />� Charge Account Number. Charge Cost To(Name): <br /> : . Address Zip:.: <br /> ,Invoice No.: Amount:� �Date :�� '� <br />� „At . , <br />