Laserfiche WebLink
' .. . . . ' • " - ' y�:w+" . : � ... . <br />\ <br />CITY OF EVERETT ' ' <br />DEPARTMENT OF PU6LIC WORKS �1° 9042 <br />UTILITIES DIVISION <br />W.O. No. <br />� r 19- zq-5 <br />'L Acct No. L � T�� y <br />�`7a f�l-RBR�Y �o5�£I> <br />Complaint No. <br />UTILITY UVORK ORDER <br />Date: 1 ��" 9� '�.J WATER <br />❑ SEWER <br />❑ STORM <br />Location: 17Oy� <br />W.O. Instructions: <br />� <br />ESTIMATED <br />Labor (hours} <br />Material (cost) <br />Equipment (cost) <br />� <br />� SEHVICE <br />❑ MAIN <br />� PUMP STATION <br />O TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />O CATCH BASIN <br />❑ DITCH <br />» •�/��-r t <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />�v� <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE S'DE. <br />Completion (Date): ��� �— �� Cost:3 _ <br />Charge Account Number. Charge Cost'o (Name): <br />Address: _ Zip: _ <br />Invoice No.: Amount:$_ Date: _ <br />iies <br />