Laserfiche WebLink
CITY OF EVERETT <br />\�; I� DEPARTh!EP1T OF PUBLIC WORKS <br />UTILITIES DIVISfON , <br />"�Ur",\ � Pi P G � t% <br />���, �^l1q$ <br />UTILIiY WORtC ORDER <br />�,,o; �� �/ .�d" WATER <br />❑ SEWER <br />Location: <br />❑ STORM <br />�� <br />�d SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />N� 4831 <br />rl rS(-?`c+-5/ <br />// � J �� 7- 7 <br />W.O. No. `. <br />Acct No. �i� 5 I � �] <br />''/H <br />Complaint No. �. <br />❑ MAINT6NANGE,: " ,\� � <br />� �i <br />O OPERA�fON' � �"� �; � <br />������\ .\.s j� <br />�y�PAI , �..z ; } ? n" � 1 <br />❑ CONSTRUCTION <br />❑ CATCH BASIN � /� ��� <br />�O CH ��L <br />� I' <br />✓ Yr��`%� <br />� f.<>y/�� i�ri. �>Nl �/J � � <br />W.O. Instructiens: �� '���" -� - - ' <br />G C 1% i�✓i G%C%,P� - <br />. � <br />�n <br />_ ,; � <br />J <br />-- � �� , � r Yst . 2 .__ <br />N � � o'• ACTUAL � , '� , �R • � � � I'�'I <br />ESTiMATED � >.�` � 4�� �� ,: i <br />� bor(hours) � <br />� � ' `• Cab�r_,(hours) <br />Material (cost) . <br />Equipment (cost) : <br />Maierial (cost) • <br />Equipment (cost) : <br />SCHEDULING REQUESTED � � � ��-'' <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. IT E <br />LABOR, EdUIPMENT, AND PAATERIALS ON REVERSE SIDE. ��� �� <br />Completion (Date): =+IC� �r � ~ �i--Cost:S <br />C '% <br />Charge Account Number. <br />Address: <br />Invoice N <br />ies <br />rge Cost To (Name): n� � ce� v� ysT �� <br />nt:� Date: <br />