Laserfiche WebLink
e <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITY WORK ORDER <br />Date: �— 1 �� � WqTER <br />❑ SEWER <br />O STORM <br />Location: <br />� <br />UTILITIES DIVISION <br />`�kr l'�` �'�.i <br />❑ SERVICE <br />I2f MAIN <br />❑ PUMP STATION <br />❑ TREATMENT <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />❑ DITCH <br />� u <br />W.O. Instructions: ��/�r> >� 6 G.�%%aIi -v <br />� <br />ESTIMATED <br />Labor (hours) <br />Material (cost) <br />Equipment (cost) <br />SCHEDULING REQUESTEU <br />ACTUAL <br />_ �aoa <br />W.O. No. <br />Acct.No._i��j` ��� <br />Complaint No. <br />❑ NilA1NFEIJdNCE <br />❑ OPERATION <br />r� REPAIR <br />�❑ CONSTRUCTION <br />Labor (hours) . <br />Material (cost) . <br />Equipment (cost) : <br />. ,� .-rG �r �.,. <br />USE CHARGE HCCOUNT NUMBER BELOW FOR LABOR TIME SLI ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �� -� �� <br />Completion (Date): �'"��` _� Cost:$ <br />Charge Account Number: <br />Address: <br />Invoice <br />�ies <br />Charge Cost To (Name): <br />mount:$ Date: <br />