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Work Activity Work Order <br />BI[.L ,�p;� <br />PagP I <br />�/:4/2013 8:21 <br />Issued By CSG CAVANAN, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued anz�2o�a <br />Fund aot Account 5 Program »o Function >>y Activity s�s <br />Program <br />TIIIQ REPAIR 75 INCH 2910 BEL�dON'E LN 710119675 <br />Work Order No 20130640 PfOJBCI Activity Type CORHECTIVE MAINTENANCE S�811J5 CL <br />Status 3nzrzo�3 Time i� te Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � 1 <br />Second Phone � , <br />E-Mail Address <br />Problom Information <br />Address <br />From Cross Streel <br />To Cross Slreet <br />City <br />Sutdivision <br />Problein <br />Sub Problem <br />Requested �y <br />Agency <br />Initiated From <br />Uliliry Locate (USA) No <br />As3ignment Information <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reterence <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated rlours <br />Action Taken REPLACED SETTER. BILL JOB. BILL TO ROBERT PERA550. <br />4405 703RD AVENUE SE. <br />LAKE STEVENS. WA 98258 PHONE�425) J74-6874 <br />Recommended Action <br />Approved By DDL nF.nszt onvio � Job Cost Information(Y/N) <br />Start Date � � Time Date Completed ans�2au Permit No <br />