Laserfiche WebLink
� ,. ._:.' . . - - _ . ' CITY OF EVEREIT .. � �_ �, . <br /> ' � ���� � DEPARTMENT OF PUBUC WORKS • - �aO fi . <br /> a : <br /> I.�s� t .;w. � , _... . . . . .... . . , <br />` ^ "" "^" "` i UTILITIES DIVISION � � <br /> , r ..�.;,r„ �. __�. . . ,. ... . �� ... � � � <br /> . <br />( ! � - - -- --, ;�o�Q "`z�-0� - _W O. No. _ <br /> .. j- -- ,7_. _ _ _ - � 3�i-Z q - AccL �Jo. —L-��� 1 l�� . _ <br /> . .. <br /> . . .. - -� •< . <br /> . . . . _. __ . _ _ .... <br /> _. _ _ �. <br /> . __ . _ . � <br /> UTILITY WORK ORDER � Compiaint No. <br /> Date: �`I'2l"'9 �❑/ WATER _ ERVICE ❑ NAINTENANCE <br /> ❑ SEWER j�AIN G OPERATION <br /> ❑ STORM ❑ PUMP STATION � REPAIR _ � <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> �� �,�I' lI ❑ RESEPVOIR <br /> V' n ❑ VALVE dTL 6Sa� <br /> fzrcPA�� i <br /> ❑ MAN HULE 9-28 �89 <br /> ❑ CATCH BASIN <br />� ❑ DITCH <br /> Location: � ��� L�it�¢) A✓�y 'p� <br /> W.O. Instructions:_ �Pf.���i � ti' '' •-�---� 7/�U !� <br />� <br />� <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 /> JSE CHARGE ACCOUNT IJUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Compietion (Date): Cost:S <br /> � <br /> Charge Account Number. � Charge Cost To(Name): <br /> Address: Zip: <br /> Invoice No.: Amount:S Date: <br /> ..85 , <br />