Laserfiche WebLink
; , . <br /> CiTY OF EVERETT �'71S � <br /> —L\` ' . . . ^; � �; � <br /> �� DEPARTMENT OF PUBLIC WORKS <br /> UTILITIES DIVISION <br /> 1N I `?- ?9- 5 w.o. No. I <br /> Acct No.��� �� 9 <br /> � �bZG� �:�Z a���`\ \ <br /> Complaint No. _ <br /> UTILITY WORK ORDER - <br /> Date: d -'z�/�- �% �. ❑ WATER ❑ SERVICE O MAINTENANCE I <br /> ❑ SEWER O MAIN � OPERATION � <br /> ❑ STORM � PUMP STATION ❑ REPAIR � <br /> ❑ TREATMENT ❑ CONSTRUCTION <br /> O RESERVOIR I <br /> ❑ VALVE ° .,�, p r np`� �� i <br /> ❑ MAN HOLE r�sT�n � <br /> 1 - 4•�� <br /> ❑ CATCH BASIN --f� i <br /> ❑ DITCH i <br /> Location: ,�� �//���$ !/ 'E_ <br /> W.O. Instructions:�/��^T�'� �� ��/t�/� <br /> � <br /> •.I <br /> . , • —:. . �,��,�, . ,�•. �. I <br /> �r. , '�� ..,.,,,\� i.,.�, „'.�. <br /> . I <br /> � <br /> ESTIMATED ACTUAL � <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGF. ACCOUNT NUMBER BELOW FOR LABOP ' IME SLIPS. ITEINIZE <br /> LABOR, EQUI�MENT, AND MATERIALS CN REVERSE SiC�. � <br /> Completion (Date): Cost:S_ _ ___ __ ___ <br /> Charge Account Number:_ Charge Cost To (Name): <br /> Address: � Zip:. <br /> Invoice No.:_ Amount:$ Date: <br /> iies <br />