Laserfiche WebLink
�'. ti1"' .pr � 1 . . � .. „ � ..� . . ... .. ' .„ � <br />' • - % - CITY OF EVERETT • <br />5�,� �• �� DEPARTMENT OF PUBLIC WORKS <br />" � � UTILITIES DIVISION <br />Q . l9- zg-S <br />UTILITY WORK ORDER <br />Date: aa+�/ � �NATER <br />❑ SEWER <br />❑ STORM <br />Location: �s� <br />W.O. Instructions: _ <br />G,�A�.d <br />�,�ci5 f' i C <br />ESTIMATED <br />Labor(hour_ sl` <br />Material (cost) <br />Equipment (cost) <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />P t�-.� caoX � , d <br />h '�•.'Ff �9- 1i�� . � S . � �. •- . <br />ti',� j.! .7. ;'i'�T .. Y ��'^�� .. <br />. �ry,,� <br />�'�. � . ,.� .. ,. <br />W.O. No. ' <br />Acct No. G �_ �� � � <br />`�o»o�:�e�;��; \ . <br />Complaint No. <br />� MAINTENANCE <br />O OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />�� u <br />N o �sr�nl6 <br />�%C.� (. �>v�;�t� � .'_I <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING RE�UESTED <br />� � ... <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. . <br />Completion (Date): Co�t:S <br />Charge Account Number. Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:S <br />,ies . <br />