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Work Activity Work Order <br />ISSUBd By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 12/9/2015 <br />Fund ao� Account s Program ��o <br />P rog ram <br />Title REPAIR .75 INCH 2506 WETMORE AVE 710119675 <br />Page 1 <br />7/18/2016 13:13 <br />Function ��s Activity s�s <br />Work Order No 20152650 Project Activity Type CORRECTIVE MAINTENANCE StatUS CL <br />Status 12/9/2015 Time 15:40 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />C rew <br />Contractor <br />Assigned To <br />Assigned By <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street <br />Map Book <br />Called Date <br />Customer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Assigned Date _ _ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequen.ce � <br />Comments INVENTORY MATERIAL IN THE AMOUNT OF $55.62 WAS JOURNALIZED <br />IN 2015 --- __ <br />Action Taken FOUND SPLIT POLY. REPAIRED PACK JOINT AND REPLACED SPLIT POLY. <br />Recommended Action <br />Approved By FBL FISHER, BOBBY �. Job Cost Information(Y/N) <br />Start Date i � Time Date Completed �2isi2o�s <br />Completed By Time Follow Up? <br />Permit No <br />