Laserfiche WebLink
i � <br />)'�. �i <br />� <br />• � CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: a � �� Ei��NATER <br />❑ SE�":ER <br />❑ STORNi <br />��q� r <br />/I f.< %�.r-c"%^- ` ' ` � <br />O' SERVICE� <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMcNT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />:.:_ �0�0 <br />W.O. No. <br />Acct. No. _ � 7� -// / <br />Complaint No. <br />C�MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTIUN <br />Location: o�����(������ ���e �' • <br />W.O.Instructions:��C�T'e C'P�(//�`= � �• �• <br />i -��:r �•� ' .' .. . ;�i <br />I <br />+ i r. , . <br />; t, . . <br />� � r <br />i-,��;1 n ��t� � . � : <br />/ <br />- - ; l: . <br />c_. . c" <br />ESTIMATED <br />Labor (hours) . <br />Material (c�st) . <br />Equipme��[ (cost) : <br />ACTUAL � HIZ S <br />Labor (hours) <br />Malerial (cosi) <br />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): �Z—�'i � �% Cosh$ <br />Charge Account Number: _Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:$ <br />i ias <br />� <br />