Laserfiche WebLink
CITY OF EVERETT ., %$ 2 � <br />� DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIYISION VY.O. No. <br />d/B9 �c::.-�D — <br />'� ,cTurntas ---�uiC� H.u�EhCY C�wti <br />� 3%—Z9— S AcctNo. /•�5��1�9 <br />Complaint No. <br />� UTIUTY WORK ARDER _ <br />� <br />I� Date: ��` ���� j� WATER <br />�' ❑ SEWER <br />� <br />� ❑ STORM <br />� <br />3 9�0 !�/E��o,� f�✓� <br />Location: <br />W.O.Instr <br />s� SERVICE <br />❑ MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE ' <br />❑ CATCH BASIN <br />❑ DITCH <br />�MAINTENANCE <br />❑ OPEiiATiON <br />❑ REPAIR , <br />❑ CONSTRUCTION <br />ESTIMhTED <br />: <br />•' Labor (hours) . — <br />�' Material (cost) . — <br />N Equipment (cost) : — <br />SCHEDULING RE�UESTED <br />1/95 <br />ACTUAI <br />Labor (hours) <br />Material (cost) <br />Equioment (cost) <br />USE CHARGE ACCOUNT NUMBER BELOW rOR LABOR TIME SL PS. ITE� <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. � <br />Completion (Date): O9�OZ 8S Cost:S <br />Charge Account Number. <br />Address: <br />Charge Cost To (Name): <br />Amount:$ Date: <br />Invoice No.: .. <br />