Laserfiche WebLink
�j��'�` '��� <br /> Work Activity Work Order °�9` 1 <br /> 5�„Z��1 15:5, <br /> Issued By CSG CAVANAH,SHANE G. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date issued anv2o�i <br /> Fund ao� Account 5 Program »o Function »y Activity 675 <br /> Program <br /> TIflB REPAIR.S INCH 1525 LOMBARD AVE 710119675 <br /> Work Order No 20110626 PfOJBCi Activity Type CORRECTIVE MAINTE�lANCE St8IU5 CL <br /> Status Qnvzo�i Time �o:sa Original WG Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( > - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book fvlap Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Calied Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ _ _ To Be Comp Date _ <br /> Scheduled Date Scheduled Time <br /> Route Route Seque�ce <br /> Comments <br /> Action Taken NO SHUT D04VN.FIXED HOT,GO�EAN. <br /> RCCOIllt11811d0d ACflOtl BILL TO: SHORELINE CONSTRUCTION <br /> . ATfN:ALEC ANDRY <br /> P.O. BOX 358 <br /> WOODINVILLE,WA 98072-0358 <br /> J <br />