Laserfiche WebLink
�..;,r�.,,,: <br />.M.: . <br />� :� . <br />; , : <br />� ..ti <br />` <br />Q. <br />t,: <br />f"- <br />, .. . � , � ; �--:,� s,,.r �� y-�,x' ,, ;�rti . <br />.�- <br />CITY OF EVERETT <br />DEPARTMENT OF PUBLIC WORKS <br />UTILITIES DIVISION <br />UTILITY WORK ORDER <br />Uate: -�1-$ ❑ WATER <br />�B- SEVVER <br />❑ STORM <br />,, -Fa....�-r-sa <br />�Z-z�-69 <br />.._. R7^S <br />W.O. No. �' G Z o— Z9— S <br />Acct No. �� 5 — � � 9 <br />Complaint No. _ <br />,0' SERVICE ❑ MAINTENANCE <br />❑ MAIN � OPERATION <br />❑ PUMP STATION �Y REPAIR <br />❑ TREATMENT ❑ CONSTRUCTION <br />❑ RESERVOIR <br />❑ VALVE <br />❑ MAN HOLE <br />❑ CATCH BASIN <br />C DITCH <br />r <br />Location: 2i �� G+ � q� <br />W.O. Instructions: — <br />� Q,�,'� �0 !i%�. �i'.�1P�` -� � .!1.�i 7n ,ti'�.� <br />ESTIMATED <br />Labor(hours) . <br />Material (cost) . <br />Equipment (cost) : <br />ACTUAL <br />Labor(hours) <br />Material (cost) <br />Equipment (cost) <br />SCNEDULIPJG REQUESTED <br />USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br />LABOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. , <br />Completion (Date): _Cost:� <br />Charge Account Number: Charge Cost To (Name): <br />Address: Z�P� <br />Invcice No.: Amount:$ Date: <br />iies <br />I <br />