Laserfiche WebLink
CITY OF EVERETT <br />E r r r'" DEPARTINENT OF PUBLIC WORKS <br />UTILITIES DIV1810N <br />UTILITY WORK ORDER <br />Date: ' � � �� � WATER <br />❑ SEWER <br />❑ STORM <br />Loctation: <br />W.O.Inatn <br />;.::. 7733 <br />W.O. Na <br />4-69 FE�sTED — �.1oTUh1M5 R=Q. <br />Acct Na 1 � S" � ``� <br />� �' ^ Z � ^ S Complaint No. <br />y� SERVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />O CATCH BASIN <br />O DITCH � <br />❑ MAINTENANCE <br />O OPERATION <br />� REPAIR <br />❑ CONSTRUCTION <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REOUESTED <br />� <br />Labor (houro) . <br />Material (cost) . <br />Equipment (cost) : <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME � LIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �y�� <br />Completion(Date): �`�'��� Cost:S_ <br />Charpe Account Number. <br />Charge Cost To (Name): <br />Address: '� <br />invoice No.: Amount:$ Date: <br />-.� <br />