Laserfiche WebLink
CITY OF EVERE7T _ � 4 8 3 <br />� DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: `'" � � � '.t � WATER <br />❑ SEWER <br />❑ STORM <br />�(o/� 4��'P/TfiE' /��/� <br />UTILITIES DIVISION 5 <br />�• <br />�1 2 � 1�� <br />W.O. No. <br />8g No.—�7� ��•� <br />,�dr� <br />�SERVICE/' �Qir`� <br />❑ MAIN `� <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />C CATCH BASIN <br />❑ DITCH <br />Location: 2bIZ /.261 �l' �,Qh1�N3ER <br />W.O. Instructions: ��L�� .c��{�,�G� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REOUESTED <br />ACTUAI <br />Complaint No. <br />"�O� MAINTENANCE <br />O OPERATION <br />j� REPAIR <br />❑ CONSTRUCTION <br />Labor(hou�s) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion(Date): .3���'9$ Cost:S <br />Charge Account Number: <br />Address: <br />Charge Cost To (Name): <br />Invoice No.: Amount:$ Date: <br />�ies <br />