Laserfiche WebLink
CITY OF EVERET'.' <br />JEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: �'.�1•� WATER <br />SEWER <br />❑ STORM <br />Location: <br />W,p. Instructions: <br />ESTI MATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />res <br />lp� SERVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />p CATCH BASIN <br />❑ DITCH , <br />7oao <br />W.O. No. <br />Acct. No. r 7 G 1)� <br />Complaint No. _---- <br />,fd� MAINTENANCE <br />O OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />ACTUAL <br />Labor (hours) <br />I Material (cost) <br />Equipment (cost) <br />SCHEDULING REDUESTED <br />LABOR, EQUI MENOTUAND MATERIALS ON REVERSE SIDE. E SLIPS. ITEMIZE <br />Cost:$ <br />Completion (Date): <br />Charge Account Number: ----- <br />Charge Cost To (Name): <br />Address: ' <br />Amount:$ <br />Invoice No.: <br />ZIp: _----- <br />ate: <br />N <br />� <br />� <br />