Laserfiche WebLink
CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />T ��—�9-s <br />UTILITY WORlC ORDER <br />�o ��� <br />Date: ��"��"���� � WATER ,� SERVICE <br />❑ SEWER O MAIN <br />❑ STORM ❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />�/� /,,/�/����G%�„�.��� ❑ MAN HOLE <br />f/ �// /�G!'iL ��•� <br />❑ CATCH BASIN <br />� ❑ DITCH <br />�ocation: �BLit_61�1/�6/N/.'db�C./�G�Q'/.7L,3aL�L3� � <br />W.O. Instructions: KI � L Sf.PI�! G! <br />� <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />(':" 9033 <br />n� � <br />A���. No. �-� s�, � y <br />Compiaint No. <br />(� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor(hours) . <br />Material (cost) , <br />Equipment (cost) : <br />SCHEDUIING REQUESTED - <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Compietion(Date): _ ���� Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />ves <br />Charge Cost To (Name): <br />i p: <br />t e: <br />