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Work Activity Work Order Page 1 <br /> 12/13/2021 12:15 <br /> Issued By GCR GRENZNER,CHRIS R. <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 5/10/2021 <br /> Fund 401 Account 5 Program 710 Function 1o9 Activity 675 <br /> Program <br /> Title REPAIR 6500 EVERGREEN WAY 710109675 <br /> Work Order No 20211084 Project Activity Type SERVICE REQUEST Status cL <br /> Status 5/10/2021 Time 08:51 Original WO Billing <br /> Customer Information <br /> Customer Name HYDROMAX SEWER INSPECTIONS,JA Customer Id <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 812 ) 708-0725 Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 6500 Street EVERGREEN WAY <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By MCL1 MALLAND,CHAD L. Date Requested 8/31/2018 <br /> Agency Related Request 00179152 <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept PW PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To DBM1 DOOLAN,BRIAN M. <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments INVENTORY MATERIAL IN THE AMOUNT OF$236.49 JOURNALIZED IN <br /> 2021. <br /> Action Taken REPLACED SIDE SEWER FROM MAIN TO EXISTING CLEANOUT AT PROP LINE WITH 6"PVC. <br /> DEPTHS: 12"CONC MAIN=9.5'. TOP OF STANDPIPE=6'. SS AT CLEANOUT=5' <br /> Recommended Action <br /> Approved By MDE MACELLARI,DAVID E. Job Cost Information(Y/N) <br /> Start Date / / Time Date Completed 12/13/2021 Permit No <br />