Laserfiche WebLink
e <br />-as <br />K 5-28-5 <br />. .. .. .. ' ' � i::.,; r.� , . <br />CITY OF EVERETi <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Date: �' S" ��� [� WATER <br />❑ SEWER <br />❑ STORM <br />��S <br />� <br />�i <br />�� e <br />Qo`N,�� <br />Location: �) I 5" S o vT7 <br />W.O. Instructions: L � � �� �'�• ' <br />� <br />ES?IMATED <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />� SERVICE <br />O MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />t�n � ���y <br />,-..U'<4"�'i �titi{yry �:i%�'Iw !'•t v =:� , . . . <br />� <br />i'•.' � % J <br />W.O. No. <br />Acct No. G7r 11 �l <br />Compiaint No. <br />O�MAINTENANCE <br />❑ OPERATION <br />❑ REPAIR <br />❑ CONSTRUCTION <br />< < r t n� -r..� ��r �r�,> <br />ACTUAL <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />SCHEDULING REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br />Completion (Date): S �L� 8% Cost:$ <br />Charge Account Number: Charge Cost To (Name): <br />Address: <br />Invoice No.: Amount:$ <br />