Laserfiche WebLink
y. . . .�,n.� y : �� . ... . .� , ... �.i . , � . . .. . . �� . . � ... .. s ... . <br /> ;.._ `- . . , .. ._. . CITYOFEVERETT _ ;.._.. _ ,.. :.., .. . � <br /> � DEPARTMENT OF PUBLIC WORKS 1'��' ' '8Q'�� '' <br /> - UTILITIES DIVISION , <br /> W.O. No. <br /> Acct No. L�ti' .,1` y .,. . .. . <br /> UTILITY WORK ORDER Complaint No. <br /> Date: S � 1' - � �� ,P WATER p�SEAVICE � MAINTENANCE . <br /> � ❑ SEWER I � MAIN ❑ OPERATION <br /> ❑ STGRM ❑ PUMP STATIO� � REPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVUIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: � �0�'�po��p�� <br /> W.O. Instructions: � ��� / � < I �� T i .�� i' � /J /i�� i i�� n L <br /> / � S!,',�rrr�� � � D� <br /> . � <br /> _ /!L/J Ul��' r�r: <br /> E�TlMATED ACTUAL <br /> Labor(hours; . _ _ Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> EquipmenC(cost) : Equipment (co-2) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCUUNT NUMBER BELOW FOF+ LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPNiENT, ANd MATERIALS ON REVERSF SIDE. - <br /> Completion'(Datel � f���� _CostS_ <br /> y , 4.. <br /> �. , ; ;: ` _ , <br /> Cha�ge Account Numtier: ' Charge Cos' To,(Name). - <br /> - • . - � . u <br /> _ Address --- _ Zip je <br /> Invoice No.: _AmountS Qate: —_ � <br />