Laserfiche WebLink
..�, �. � . .r av . .�. w .�.. . . .. • �... . �.<..-tiw" •`, s p.. � .. <br /> ;.� ;, . . , �,f .,. . . .. .:...:,:. CITYOFEVERETT'. :. , •.. . . � ..�. �. . <br /> t <br /> ..; :'.._ _ . <br /> DEPARTMENT OF PUBLIC WORKS P�: � 868 D <br /> .. . `.< „�� . UTILITIES DIVISION � :— -•T - - <br /> .? ' � 1NO�No. <br /> . . . .__,..._ .. .._ , ;;.�-;-..,.. <br /> P3/-2/n-� Acct No. L �r= /}y <br /> UTILITY WORK ORDER Complaint No. <br />� Date: �'7� � WATER �J SERVICE �' MAINTENANCE <br />: ❑ SEWER ❑ MAIN ❑ OPERATION <br />: O STORM ❑ PUMP STATION O REPAIR <br /> I ❑ TREATMENT ❑ CONSTRUCTION <br />`' ❑ RESERVOIR <br /> �� u <br /> ❑ VALVE No a�c�r.iE. <br /> ❑ MAN HOLE �f <br /> ❑ C/;TCH EASIN <br /> � DITCH <br /> location: � L I � � �f�.19 FDWL�R I�f�i <br /> W.O. Instructions: ������ Co�1"��/31���X Ls' �,vi-T{-/ <br /> �'cyY�� .��r�r �J19lces A�/j�"i! ��f .57`� �.r�7 <br /> /�,Aas�- /1f ?E'�1�P. Q—�f'��,f 4r f � — — <br /> i • <br /> ' ' ' � 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 MATERIALS ON REVERSE SIDE. , <br /> Completion (Date): ��-� -f� Cost:$ <br />; Charge Account Number. Charge Cost To(Name): <br /> Address: ' <br /> . _ ' .'Zipi:: .. <br /> >Invoice No.:.� Amounh$ '���Date - ' 1' <br /> I/115 . . . . ' . . . . . . " . ' . . . .. . <br />