Laserfiche WebLink
„�. � ,. . . - � <br />� <br /> CITY OF EVERETI' . <br /> DEPARTMENT OF PUBUC WORKS <br /> i�:.:: �5 '' � <br /> ' �\ „ UTILITIES DIVISION W p, No. � 7S -�! � <br /> .r �=-�.� <br /> '- ='�'e6 _ � Acct. No. <br /> , t., <br /> : �_ <br /> � ` Complaint No. <br /> UTILITY WORK ORDER <br /> Date: �r� / -�� �WATEA f3' SERVICE C3�MAINTENANGE <br /> ❑ SEWER C MAIN ❑ OPERATION <br /> u STORM ❑ PUMP STATION ❑ REPAIR <br /> G TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> C VAI.VE <br /> ❑ MAN HOLE a� <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: / ��� � 77 %J� U PR �l�l4e D�d <br /> W.O. Instructions: <br /> `'f�()�Je C' C/iPl7 ���AS bGCJ�” tGR iPGGU LN/dPA//� <br /> . 'f <br /> _ p 0 � <br /> � v� �v�c�S <br /> ESTIMATED ACTUAL __--- <br /> Labor�hours) . _ Labor(hours) . - <br /> Material (cost) . _— Material (cost) . -- <br /> �quipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED _ <br /> LABOR EQUEPMENOTU4ND MABcFIALS ON ROEVEPSEOSIDE. E S�IPS. ITEMIZE <br /> Ccmpletion (Date): — — Cost:3 --- <br /> Charge Account Number:�--Charge Cost To(Name): <br /> Zip:. — <br /> Address: <br /> Invoice No.: — <br /> _Amount:S— _�ate: <br />