Laserfiche WebLink
CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: � � �' ` �r� �] WATER <br />❑ SEWER <br />G STORM <br />UTILITIES DIVISION <br />; , i ' � <br />�.r <br />=/���o r10 Po.�i 1NG <br />� SERVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATti1ENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />� DITCH <br />Location: 1 � ��S%m��H� %i� �'" .Q <br />W.O.Instructions: ��CtiCAT� � �'i— � <br />ESTIMATED <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />ACTUAL <br />..� 90�7 <br />W.O. No. _ <br />Acct. No. L � S � � �� <br />Complaint No. <br />� MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />U3E CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, E�UIPMENT, AND h1ATERIALS ON REVERSE SIDE. <br />Completion (Date): ! <br />Charge Account Number: <br />Address: <br />Invoice No.: <br />iies <br />� � �-Gl D <br />` _Charge Cost To (Name): �" � �� � f' ��' ���' <br />unt:� <br />te: <br />