Laserfiche WebLink
i <br />, <br />� . ._... . :._ . _ ._. - - :-::� <br /> _ �" .. . =_::. . ... :..,,:a:s <br /> •' CITY OF EVERETT � ' ' <br /> 5��� ' `�'V� DEPARTMENT OF PUBUC WORKS ��:°. 3O � 2 " <br /> I UTILITIES DIVISION �y.0. No: � <br /> ,, �. _. <br /> �"` � !.v 7S -// 9 <br /> . <br /> .. . j . r-'` _. Acct No. <br /> ' ��..3 90---� -"�� Complaint No. <br /> UTILITY WORK ORDER � <br /> i Date: , � _� Q�WATER O' SERVICE O' MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM ❑ PUMP STATION ❑ REPAiR <br /> ❑ TREATMENT ❑ CONSTRUCTION,• - � •----•-r>,�,�, , <br /> ❑ RESERVOIR <br /> ❑ VALVE <br />� ❑ MAN HOLE <br />� ❑ CATCH BASIN <br /> ❑ DITCH <br /> I Location: 3O � 3 /"C��Ll (J/P(.v �l�Y'� <br /> W.O. Instructions: L,OCqTe f �a�/� SE'/PrJ��Ct <br /> � <br /> ; <br /> �i - <br /> 'i <br /> � ESTIMATED Z. ACTUAL z— <br /> � <br /> :� Labor(hours) . Labor(hours) . <br /> :j Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> j <br /> 1 SCHEDULING REQUESTED <br /> ' USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> �i LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. - <br /> Completion (Date): �� '� &f Cost:$ <br /> ' Charge Account Number: Charge Cost To(Name): <br /> s <br /> Address: Z�p' <br /> Invoice No.: <br /> Amount:$ Date: <br /> f/BS <br />