Laserfiche WebLink
Work Activity Work Or�der Page � <br /> �/3o/zo�s _a:�a <br /> ISGU2d By SRA � SORGEN,ROBERT A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 61112013 <br /> Fund �zo Account, Program eao Function �oa Actiwty e�i <br /> Program <br /> TItlO SIDEWALK REPLACEMENT 2903 PAGF!C AVE <br /> Work Order No 20131556 Project Activity Type CORRECTIVE MAINTENANCE SfatUS CL <br /> Status ��3oi2ot.t Time ta:zs Original\NO Billing _ _ _______ _ __ <br /> G��stpmer Informafian <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 Piione ( ) - Ext <br /> E-Mail Address _ _ – <br /> Probiem Information <br /> Address 2903 Street pqCIFIC AVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry ZiP <br /> Subdivision Map Book M2p Reference <br /> Problem <br /> Sub Problem <br /> Requested 8y Date R�quested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date ExpiraUon Date <br /> Assignment Infonnation <br /> Dept Priority Eslimated 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 Sequence <br /> Comments <br /> Action Taken BILL TO: CARtJEY INVESTMENTS LLC <br /> PO BOX 260888 <br /> PWNO,TX 75026 <br /> Recommended Action <br /> Approved By o�s BisNerr.GRe�c s Job Cost Informalion(Y/N) <br /> S�ar; Dat, i i Time Date Compieted e�2v2o�a Permit No <br />