Laserfiche WebLink
- . <br /> CITY OF EVERETT � <br /> � <br /> DEPARTMENTOF PUBLIC WORKS �`�- 8458 ' <br /> i <br /> UTILITIES DIVISION <br /> � - J W.O. No. _ <br /> 1 -1- ' ' -- <br /> �7 - ' = . - �/� _, Acct No. L7 S � � Lj <br /> /�p Tt,1 N11�i� Complaint No. <br /> UTILITY WORK ORDER , ' <br /> Date: 5��77•• �'q � WATER �SERVICE ❑ MAINTENANCE <br /> ❑ SEWER ❑ MAIN ❑ OPERATION <br /> O STORM ❑ PUMP STATION � REPAIR <br /> ❑ .TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH � <br /> Location: �1� N/�/1y�/�P ��'�- <br /> W.O. Instructions: ���(1.(�et�,►1��d �V��:"�— <br /> ESTIMATED ACTUAL <br /> Labor(hours) . Labor(I�ours) . <br /> Material (cost) . Material (cost) . <br /> Equipment (cost) : Equipment (cost) : <br /> SCHEDULING REQUESTED _ <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> LABOR, EQUIPMENT, AND MATERIA�S ON REVERSE SIDE. <br /> Completion (Date): 5 '�z � �-Cost:S <br /> Charge Account Number. Charge Cost To (Name): <br /> Address: Z�P' <br /> Invoice No.: Amount5_ Date: <br />