Laserfiche WebLink
_� <br /> � CITY OF EVERETI' . . <br /> DEPART(4fENT OF PUBLIC WORKS <br /> J:�; Y �� . <br /> UTILITIES DIVISION � i <br /> W.O. No. <br /> Acct. No. ��i+l- i/ :� <br /> UTILITY WOFiIC ORDER Complaint No. <br /> Date: _-,_,�=,_L�.=-,i/ ��WATER C�SERVICE ❑ MAINTENANCE I` <br /> C SEWlER ❑ MAIN ❑ OPERATION j <br /> ❑ STORti1 ❑ pUMP STATION G'�REPAIR � <br /> F <br /> ❑ TREATMENT ❑ CONSTRUCTION � <br /> =! RESERVOIR <br /> ❑ VALVE � <br /> ❑ MAN HOLE <br /> ❑ CATCH BASIN � <br /> ❑ DITCH � <br /> n , i�i <br /> Location: __�<:iG' %Q = 1,; �j. �=. <br /> / a _S' rr� — <br /> W.O. Instructic,�s: �/i r�' ,� -�. � / �'���� �� ,,� � ,� F . <br /> _ (''i�P/�� �li•'�? �'1/� C �/��/�Jr��/� `'i <br /> ll <br /> I <br /> - I <br /> � <br /> _, '��s��°� /`�lr_ <br /> �?/%�' l`i,E= <br /> , —_ eS'r��,s�zl, / �,� � � � <br /> � <br /> Z�� �1 / i'/1 �; <br /> `i <br /> I <br /> ESTIMATED ACTUAL�� • z ,P <br /> labor(hours) . Labor (hours) <br /> Material (cost) . _�_ Material (cost) . <br /> �. F.,; <br /> Equipment (cost) : ___ Equipment (cost) : � ' <br /> — t!i <br /> i " <br /> :'Cf-IEDUUNG REOUESI[D j <br /> - ------ _ �i i <br /> USE CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE ' <br /> L,�BOR, EQUIPMENT, AND MATERIALS ON REVERSE SIDE. �" <br /> f', <br /> Completion (Date): _�C�_�L-�' %____Cost:S_ �` ` <br /> ---- f' ; <br /> Charge Account Number: _ _Charge Cost To (Name): __ ���' <br /> i�ddress: �' y <br /> -----— Z;p:_ i�� <br /> --------Datc: ----- ! ' <br /> Invoice ��e.:- --- -- --- , u' <br /> - ----.___ __-----,lmounLS ----- <br /> �, <br /> � i'; <br />