Laserfiche WebLink
. : . �::..... ..:.: . . , : . <br /> . . �.�i U� -:h?� . .. , , " • .,�;,�-�:�,:�',' �,�`:,;' ' <br /> ' " ' '"" CITY OF EVERETf <br /> ,, � DE�ARTMENT OF PUBLIC WORKS �' � �� <br /> � :.. <br /> ; •• • <br /> ; UTILITIES DIVISION <br /> W.O. No. _ <br /> .i ' <br /> _ . . . /����Z� Acct. No. I_ 7 S 1 � y <br /> � Complaint No. <br /> UTILITY WORK ORDER <br /> ' Date: �I �/ )'`� � WATER �' SERVICE �I MAINTENANCE <br /> - � SEWER ❑ MAIN �� OPERATION <br /> � ❑ SiORM ❑ PUMP STATION O REPAIR <br /> � ❑ TREATMENT ❑ CONSTRUCTON <br /> ❑ RESERVOIR <br /> ;; ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> � D17CH <br /> Locatiorr. ��' � � 1 ���� r _ <br /> � W.O. instructions: K 1 �?�r � 11 i .G/.� S � �'t � c:' /-"�.�' l! c i ii*�/r>r .– — <br /> a <br /> ,. <br /> V <br /> v� <br /> � <br /> ESTIMATED ACTUAL -{'O�S <br /> Labor(hours) . Labor(hours) . _ <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : — <br /> SCHEDULING REQUESTEU _ <br /> USE CHARGE ACCOUN�T NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, P,ND MATERIALS ON REVERSE SIDE. , <br /> Completion (Date): �'y5 � � 9 Cost:S --- <br /> Charge Account Number. Charge Cost To(Name): — <br /> Address: Z�P� <br /> Invoice No.: Amour�t:$ Date: <br /> � '/BS <br />