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�ll/ork Activity Work Order <br />ISSUEd BV CSG CAVANAH, SHANE G. <br />Issued Deoanment Pw PUBLIC WORY.S <br />Date Issued izmzo�e <br />Fund ao� Account s Program �to <br />Program <br />Title REPAIR 1 INCH 6520 EVERGREEN WAY 710119675 <br />Function >>9 <br />Page 1 <br />2/15/2015 11:36 <br />AC�IVihl 675 <br />Work Order P!o 20143479 Project Activity Type SERVICE RE7UEST Status c� <br />Status iznizoia Time ie:tt Original WO Billiny <br />Customer Information <br />Customer Name 6526 <br />Address 6526 <br />Apartment No <br />State <br />Sutdivision <br />Phone No ( <br />Second Phone ( <br />E-Mail Address <br />SlfE2� FLEMING ST <br />City <br />Zip <br />Ex! <br />Ext <br />Customer ld <br />Change Map YIN <br />Problem Information <br />Address 6526 Street FLEMING ST <br />From Cross Street __ —___—___ ---- <br />To Cross Street <br />Ciry Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By GMJ2 GESLAK, MARTY J. DafB RBGUESIed �zmzo�a <br />Agency Related Request oo13s355 <br />Initiated From OCD OTHER CITY DEPARTMENTS <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment information <br />Dept Pw PUBLIC WORKS Priority Estimated Hours <br />Crew <br />Conlractor <br />AssigneJ To CSG CAVANAH, SHANE G. <br />Assigned By <br />Assigned Date __ To Be Comp Date __ <br />Scheduled Date Sci ieduled Time I e� 6����'� ����p <br />Route Route Sequence <br />Comments INVENTORY MATERIAL IN THE AMOUNT OF 557.72 WAS JOURNALIZED <br />IN 2014 <br />Action Taken REPAIRED SERVICE AND RESTORED. <br />Recommended Action <br />Approved By HLJ HUSBY, LANCE J. JOl) COS� IflfOff118110f1(Y/N� <br />Start Date � � Time Date Completed i2nsizoia Permit No <br />Completed By Time Follow Up? <br />