Laserfiche WebLink
i <br /> i <br /> � <br /> . ��f .��ri�rf:, <br /> , ! . , .. .� , . r.it"�c:'.-%vi"� . , � <br /> , CITY OF EVERETT <br /> - . DEPARTMENT OF PUBLIC WORKS � � r'� <br /> UTILITIES DIVISION yy.0. No. � f �� � <br /> �.�S-�p �� Acct. No. ��J $ � / O 9 <br /> Iz•2�-89 <br /> UTILITY WORK ORDER Complaint No. _ <br /> �ate: /G - 3-b9 ❑ WATER B SERVICE ❑ MAINTENANCE <br /> Ja''SEWER ❑ MAIN ❑ OPERATION <br /> ❑ STORM O PUMP STATION .B- REPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> O MAN HOLE <br /> O CATCH BASIN <br /> ❑ DITCH <br /> Location: 3 S/� I 1'1 �.I fn�n <br /> W.O. Instructions: �'�✓�ru.,- ��.et.r' �Ja.I�v�-I- � <br /> .���� �D- �l- �9 <br /> ESTIMATED ACTUAL <br /> Labor(hours) . _ Labor(hours) . <br /> Material (cost) . _ Material (cost) . <br /> Equipment (c�st) : Equipment (cost) ; <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): _ Cost:$ <br /> Charge Account Number: Charge Cost To (Name): <br /> Address: _Zip. _ <br /> Invoice No.; Amount:$ Date: <br /> �ns <br />