Laserfiche WebLink
' �.r ' . . l ' �l " . . . . ' � tti4�'N1T��ny15,<ki1:; <br /> S 4tiJ .. � � \�1, .. � . . . .. . .. .. ) . ,.. � ' . . �.. . . . �:��. I . S N�,�y iy/ �fr� l,. <br /> �'�i S:: h , 'CITY�OF EVERETT ' � � n � h'�cr. <br /> � 5 � t�•� C . . ., . _ . . 4ti'3�, �;i.r <br /> 3 ..> 'i" '�,'�, ' DEPARTM,ENT,OF,PUBLIC WORKS ' _ ,�r�.S;�.89.2��. - <br /> � UTILITIES DIVISION � �,< ;r` �`'� <br /> � r , W.O.No. '�';. <br /> � . , _ ..,, ._ _ : ; _ , + •t` ' . <br /> u �- { 'w�� � �. t� <br /> �., ;�,, + � , 9ar �•- , AcctNo. �7.��fI7c:, ', <br /> aiLv"1 <br /> . -- ' :: , � r �t <br /> UTILITY WORK ORDER � d Complaint No. '' ' <br /> Date: ,�Q� C3�WATER C-i�SERVICE ❑ MAINTENANCE <br /> . ❑ SEWER ❑ MAIN ❑ OPERATION <br /> ' ❑ STORM ❑ PUMP STATION C�' REPAIR <br /> ❑ TREATMEIJT O CONSTRUCTION <br /> ❑ . RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: � � C.� Ll � <br /> W.O. Instructions: _ � FC iP� K <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(hours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR T�ME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. <br /> Completion (Date): I t7if�7��'�/ Cost:$ <br /> Charge Account Number. Charge Cost To (Name): <br /> ;:Address: Zip:. <br /> Invoice No.: _Amount:� Uate: <br /> �res "' <br />