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Work Activity Work Order �a9z 1 <br /> 3/9.1/2013 8 :52 <br /> Issued By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 611812013 <br /> Fund ao� Account s Program 7to Function ��y Activity 675 <br /> Program <br /> TiflO REPAIR 75 INCH 6804 OLYMPIC DR 710119675 <br /> Work Order No 20131300 Project Activity Type SERVICE REOUEST Status c� <br /> Status 6/782013 TIfT10 15:16 Original WO __Billing_ _ __ ____ <br /> Customer Information <br /> Customer Name v+oo,JOHN Customer ld <br /> AddfeSS 7205 SffBe� OLYMPIC DR <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( azs ) 290-5958 Ext <br /> Second Phone ( ) • Ext - <br /> E-Mail Address ______ - __ _ <br /> Problem Information <br /> Address 6804 Street OLYMPIC DR <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Prablem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By HSR HOFFMAN, STEVEN R. D8f@ RBGU2Sted 611712073 <br /> Agency Related Request oo�zo�ee <br /> Initiated From PUBLIC PUBLIC <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC�VORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To CSG CAVAhAH, SHANE G <br /> Assigned By <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date _ Scheduled Time __ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken BRITTLE POLY.RAN NEW POLY TO CURBSTOP WITH WE.REPLACED WITH SETTER AN� <br /> JUMPER. <br /> Recommended Action <br /> Approved By mwe MooRe,wnR�eN e. Job Cost Informatio��(Y.�N) <br /> Start Date i i Time __ Date Completed nzizo�s__ Permit No _ _ <br /> Completed By Time Follow Up? <br />