Laserfiche WebLink
Work Act�vity Work Order <br />� �� ���� ����'� �i11 ;' 'C i� 11� �1�1 �� `; <br />�'.l l'-_'I �i'1 �� U-„ ii �' ,!(�;: ;:rii L�-,'�.i <br />Page 1 <br />5/k7/2014 13:31 <br />ISSU2d By � GCR GREKZN[R, CHRIS R. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued tizorzo�a <br />Fund ao� Acccunt s Program »o Function �09 Activity s�s <br />Program <br />Title INSTALL 4610 HOYT AVE 7101 �9675 <br />Work Order No z0�4�489 PfOJBCI Activiry Type CORRECTIVE MnINTENANCE SfBIUS CL <br />Status vzoizoia Time to:iz Original WO __ __ _ Billing <br />Customer Information <br />^ustomer Name <br />Address :�treet <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( 1 - Ext <br />Second Phone ( > - Ext <br />E-N�ail Address <br />Probl:m Informatian <br />Address 4610 Street HOYTAVE <br />From Cross Street <br />Te� Cross Street <br />Ciry <br />Subdivision iJlap Book <br />Problem SEWER SEWER <br />Suo Problem SS SIDE SEWER <br />Reyuested By <br />Agency <br />Initiated From INTER INT[RNAL <br />Ul�iity Locate (USA) No Called Date <br />Assignment Information <br />pep� PW PUf31.IC WORKS Priority <br />CfOW SCONST SEWER CONSTRUCTION (GRENZNER) <br />Contraclor <br />Assigned To IJM IMHOF, JAMES td. <br />Assigned By GCR GRENZNER. CHRIS R. <br />Assigned Date ___ To Be Comp Date <br />Scheduled Date _ Scheduled Time _._ _ <br />Route Route Sequence <br />Comments <br />Customer ld <br />Zip <br />Change Map YIN <br />Map Relerence <br />Date Requested <br />Relaled Requesl <br />Expiration Date <br />Estimated Hours <br />Action Taken INSTALLED 4" CLEANOUT, MARKED WiTH IRON 6" 9ELOW GRF,DE. BACKFILLED WITH NATIVE <br />SOIL. <br />Recommended Action INSTALL CIO IN SIDE S[WER <br />Approved By i,iM innFioF, �AMes rn. Job Cost Information(Y/N) <br />- --- _ <br />Start Date � i Time Date Comple�ed v2v2o�a Permit No _ <br />Compleled By Time Follovd Up? <br />