Laserfiche WebLink
_ �IOr . .� ��.� � N„ ' � QI �/ <br />� r � - � CITY OF EVERETT � �_ 4 0 0 5 <br /> � DEPARTMENT OF PUBLIC WORKS <br /> ._ UTIIITIES DIVISION W.O. Na <br /> AcctNa ��S �'9 <br /> Complaint Na _ — <br /> UTILITY WOAK ORDER <br /> '�-,'L ��- p� WATER G( S�RVICE �MAINTENANCE <br /> Dete: � � ❑ OPERATION <br /> O SEWER ❑ MAIN , �' <br /> ❑ STORM ❑ PUMP STATION ❑ REPAIR � '� <br /> O TREATMENT O CONSTRUCTION <br /> ❑ RESERVOIR <br />, �,p��" /o d7l' �S�` S E o ���WE . • • <br /> ❑ MAN HOLE , . <br /> . . .r�., . � _ .i:;� <br /> ❑ CATCHBASIN ' ` •��.:,'i_.•.`'•' . ;... ':: <br /> • . �z: . . . . <br /> ❑ DITCH ` ' <br /> __� �" T .S , � <br /> 3co5� 3oZ3 - -�i�_ - ,, <br /> LOC8ll00: . , ' . , � . . � ._ . '� ��:A lr `- ]!: j � 1 •i �r <br /> • ' " ;�,A=.� � 5,,�iPNchs ' PtPa�+ ''L+��w L•%N�u' 'R".''. <br /> . :r. .• rK r •� ,.• <br /> W.O.Ins4ructiona . <br /> IL�� D.T �n�,�� <br /> ! <br /> _ . I <br /> . ' .:.qr:a-.' . . I <br /> ACTUAL <br /> ESTIMATED <br /> Labor(hours) • <br /> Labor(hours) • ----'-- ' <br /> Material(coat) • <br /> Material(cost) • -- <br /> __�_ Equlpment(cost) : ----------- <br /> Equipment (cost) : �_ -- <br /> SCHEDULING REOUESTED <br />� USF CHARGE ACCOUNT NUMBER BELOW FOR LABOR TIME SLIPS. ITEMIZE <br /> I �qgOR, EQUIPMFNT, ANQ MATERIALS ON REVERSE SIDE. <br /> � 4'..¢R�C;� CostS__---- <br /> � Completion (Date}: <br /> j Charge Cosl To f Name�:— <br /> � Charge Account Number.�---- <br /> ; Zip:. <br /> i <br /> Address: <br /> , Date: — <br /> ; Amounl:5 - <br /> � Invoice No.:—-- <br />