Laserfiche WebLink
I <br /> � ry. ' . . � � µ ♦ . ' ... . <br /> ' � CITY OF EVERETT h� �g 2 3 <br /> DEPARTMENT GF PUBLIC WORKS <br /> UTILITIES DIVISION S � �` �� — � <br /> �� � W.O. No. <br /> / <br /> � �1�� � '� Acct No. G 7S' �� q <br /> �l� 2�� � � ( �� <br /> Complaint No. <br /> UTILITY WORiC ORDER <br /> Date: Z n S? � WATER � SERVICE ❑ MAINTENANCE <br /> 7- ) , <br /> O SEWER ❑ MAIN ❑ OPERATION <br /> O STORM ❑ PUMP STATION l�' FEPAIR <br /> O TREATMENT ❑ CONSTRUCTION <br /> ❑ RESERVOIR <br /> ❑ VALVE <br /> '� ❑ MAN HOLE <br /> ❑ CATCH BASIN <br /> ❑ DITCH <br /> Location: �'-- � �D � � <br /> � • <br /> ri W.O. Instructions:�_' �» � R �'L ' S "P ��,: <br /> � <br /> a! <br /> i <br /> � ESTIMATED ACTUAL .3 <br /> I Labor(hours) . Labor(hours) . , <br /> Material (cost) . _ Material (cost) . --- <br /> `, Equipment (cost) : <br /> �: <br /> Equipment (cost) : <br /> p. {:� i <br /> " ' 4' SCHEDULING REQUESTED . � I <br /> �e � k� i <br /> ` ':� USE CHARGE ACCOUNT NUMBER BELOW FOR �ABOR TIME SLIPS. ITEMIZE <br /> ' LABOR, EQUIPMENT, AND MATERIALS ON REVERSE 51DE. ��`�`\��` <br /> 1 <br /> � Completion (Date): �' 7--� '4 7 Cost:$ <br /> i <br /> Charge Account Number. Charge Cost To(Name): <br /> . Zip:. <br /> Address: <br /> Amount:$ Date: <br /> , Invoice No.: ! <br /> iies <br />