Laserfiche WebLink
♦h:.;r,'. �;y 4,�.. • • . . y i �a" ... .� . - . .... , . ' .1 - i.. ��t...T.n� ....�'�.1J .,j . . . <br />r-j.'�.��. p'. .-f'� .-:i <br />' . CITY OF EVERETT <br />� DEPARTMENT OF PUBLIC WORKS <br />� UTILITIES DIVISION <br />1 os �C�cl I �.- 89 I <br />� (.� .-1 <br />� �;,-�— <br />UTILITY WORK ORDER <br />Date: '// � • �� ❑ WATER <br />�B SEWER <br />O STORM <br />Location: D o / t <br />W.O. Instructions: _ <br />r<DDt�W- /J /r�f.. <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />7a' <br />t.._ 89O1 <br />W.O. No. <br />Acct. No. ��5� � �� <br />Complaint No. _ <br />�B'� SERVICE ❑ AIAINTENANCE <br />❑ MAIN ❑ OPERATION <br />❑ PUMP STATION � REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />NE <br />/Tr� <br />� <br />ACTUAL <br />�abor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCH�DULING REQUESTED <br />US�: CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LA!SOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): Cost:$ <br />Charge Account Number: Charge Cost To (Name): _ <br />Address: <br />Invoice No.: _ _ Amounh� <br />�/HS <br />