Laserfiche WebLink
. .. _ <br /> � �... ��t49� .��i.�+ti::�t�.p�.,�-''ti��''ihSi»mi,'�'�<"M?�rr�; ' -- - �� <br /> ��. ,.i i.; .p :_.. .. ,. ..., ,. , CITY OF EVERETT � . .' : • .. . . . . . <br /> OEPARTMENT OF PUBLIC WORKS ' -"' ' �ti,'�' • 8 H 'I � <br /> , .., <br /> .. . ,..�_.. _._ . .... ,_.: �__. . . . . <br /> UTIUTIES DIVISION � <br /> W.O. No. <br /> x ZO�Z9 — S (p7$- � oti <br /> Acct No. <br /> UTILITY WORK ORDER /05 TeG Z+9v Complaint No. <br /> Date: �' ��" ' ❑ WATER /�SERVICE O MAINTENANCE <br /> • A SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ifREPAIR <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> O VALVE <br /> ❑ MAN HOIE <br /> ❑ CATCH BASIN <br /> �� ❑ DITCH <br /> Location: _ z y � $ <br /> i W.O. Instructiuns: <br /> I _ aN o,e�c, ,a�,1a.�- � a.� ,I a� ,�,`.r <br /> i <br /> � <br /> I � <br /> � ESTIMATED ACTUAL <br /> � Labor(hours) . Labor!hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cosq : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON PEVERSE SIDE. , <br /> Completion (Date): Cost:$ <br /> Charqe Account Number. Charge Cost To(Name�: <br /> Address: � Z�P: <br /> Invoice No.: Amount:$ Date: . <br /> n:s . . <br />