Laserfiche WebLink
� <br />+' •� CITY OF EVERETT �.a9T� m�`�R�,� DO`�� ] g 0 4 <br />. qEPARTMENT OF PUBLIC WORKS G ��_Z�- 5 <br />UTILITIES DIVISION yy.0. No. !� U� <br />Acct No. �� 7 �� � <br />U7ILITY NIORK ORDER <br />Date: � � � ' � ' [7� WATER <br />O SEWER <br />❑ STORM <br />'r uC�ic� <br />' .. 90� ��, <br />� Location: <br />. W.O.Instructions: <br />�� C <br />� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />O VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />O DITCH <br />S 8.S � <br />Complaint Na <br />O MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />O CONSTRUCTION <br />! <br />•L`L�L���� ���.���-..���-���-�------ - -- ----- <br />I • <br />• � � H � � i/ Y <br />:� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />0 <br />ACTUAL <br />Laber (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TlME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): / � ls 6 .� Cost:$ <br />Charge Account Number. <br />Address: <br />harge Cost To (Name): - <br />Invaice No.: Amount:5 <br />� <br />ate: <br />