|
' ••Y� .. . _'.ru. . . ' . ..... . � . . .. -
<br />` `.. � ,.�' i ' �i ��j ` � ; CITY OF EVERETT ,. , %r ,
<br />� y r' '
<br />� • � ,�` DEPARTMENT OF Pll�BLll' WORKS • �` '
<br />` ' `' . �''' UTIL`ITIES DIVISION , ��' ' .,' �� ' '
<br />� ` '., 1N0 No —
<br />_ ; ti.,
<br /><
<br />���Z� �� +- Acct No �
<br />;,: : ;
<br />_ . - :;:
<br />_ X .;yy. � y.� �.
<br />� ,
<br />� ` C�omplaint N
<br />`. UTILITY;WORK ORDER; ' ! � � �:� : f 1 ? .!
<br />Date 5��� �% � WATER '. SERVICE MA' TENANi
<br />��..
<br />. ...: / C' r.� ; .
<br />•i .
<br />� O SEWER ❑ MAIN ❑ •'QPERl�T�ON �v` _
<br />: ,�.
<br />❑ STC?M . . � PUMP STATION ❑ REPAIR � ` * r >>
<br />� '� TREAI'MENT ❑ CONSTRUCTION ` � , '
<br />`��v��9 � ' " RESERVOIR.�:,, ' `
<br />� . 4 � VALVE
<br />�i: eK6S b(TL. B`I6S ❑ MAN NOLE -
<br />� .3/4� ME?�C2 ,�Mcre2 '. p CATCH BASIN ' � .
<br />� � :�Z83 � � 8284— ,. .
<br />.. ��..- � -:5-24-`69 , > z4-a9..�L_ ❑ DITCH � � �� � .
<br />Location: ��(�
<br />, �.
<br />W.O.In��;`�
<br />;:.
<br />_ �i• . ....:� —
<br />..: /
<br />'�.. -.._-- - . -- ._ ' --3--==
<br />, -- - ��v �,.��� �;�...�'/:�.�
<br />- -- ,
<br />,. . . . -
<br />_ . , . . . : , _ .,: �.;. ;
<br />_ _ ,
<br />, -. ,
<br />,;.
<br />_ .:. .
<br />...
<br />, . . . . . ' -: ., , :::., :
<br />+
<br />,, r . . ,: ,, ;::, ....
<br />,
<br />� ._ - -
<br />: ,.
<br />. _ .,
<br />. . , _ ;: . . ; . . . . _ -
<br />r.. : _;: . :�;. :. ; ; .., . .
<br />.� _. : : . . .___.:;.' _.. ' .. `�.
<br />. : .
<br />,. . ,: :.
<br />_ , _ _ :.
<br />,
<br />, , . .
<br />ESTIMATED , fUAL -
<br />�, ;
<br />Labor(hours)f � Labor (hours)
<br />,:� Mate;fal(cost) : Matenal,(cosi) ��
<br />. , .. ,
<br />� Equiqment (cost) • ' � Equipment (cost) �'
<br />�
<br />, r �
<br />iv�u�� .� . ;,��... . '
<br />.. � .:,. :: .., , . . . ,, ;
<br />`�..riyJt a -'. as�w�'r .., � . r', ' t � � � .i
<br />t, SCI'r{,F�DULING;REQUESTcrU N : ' � �r t s � �y"fc „�• r ', ,
<br />r-1n t X �'a,,. �:,r- �"f . �: ' - P�. N, - ' ' n7 5����� 5 '!^v �nTr a � 1 .v� t ���
<br />`�� CHARGE ACCOUNTNUMBER BELOW F7R LA80ft TIME SLIPS ITEMIZE`" ', ' �
<br />`+L�ABOR'2E UIPMFNT AND MATERIALS ON REVERSE SIDE 3� '' � ` `,
<br />, �, ��,
<br />�T/. �`M,�.+. '•y .-: .... s.- .�.i� F r r��>v i' �1t
<br />...,;���+��'Nfi�i:�i:�".l.'_� Y..�- -:�—� �;' '' — "s:.n r .�. _:�.% . . . ...._ .. . �e.-�.' _. . _ ..,. } :xi'i..Y..� � `2 .,n..e.�•'� .. t...!.� .. •..
<br />�.W c��x"����_��
<br />� ...9�a., j�'.:^l�
<br />i- I�nJoice �No • _+`
<br />�
<br />....}: ' .?� , _; ....
<br />�� F .. i . '. j;.. iU� :
<br />. . . � .. :O �.
<br />_Amount:S
<br />_Date. � �
<br />�1
<br />
|