Laserfiche WebLink
CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: .y 5 S i 1;� WATER SERVICE <br />❑ SEWER (Q. MAIN <br />G STORM ❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />MAN HOLE <br />❑ CATCH BASIN <br />J DITCH <br />Location: — <br />i0-j,: SL�'TN t Sr <br />N� 4654 <br />-9 - S-Z 0 S <br />W.O. No. <br />Acct No. 1 119 <br />Complaint No. <br />❑ MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />tff CONSTRUCTION <br />W.O. Instructions: .? 1%�LhGC ! l/ (T 11ru L H ?it 1 tit �I STc. <br />l�EiL•tr/,�i S fnPy t t�S <br />CJ I IIVIM 11L <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />ArTI IAI <br />+ Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTED <br />USE CI4ARGE ACCOUNT NUtIBER BELOW FOR LABOR TIME SLIPS. fTEIWZE� <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): �— Cost:$ — <br />Charge Account Number: Charge Cost To (Name): <br />Address: <br />Invoice No.: <br />__Date: <br />r <br />h <br />