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Work Activity Work Order Page 1 <br /> 2j6/2013 8:18 <br /> __ .—._—_—___ ._—__ --___. ___ — <br /> ISSUBd By AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued vazo�o <br /> Fund ao� Account s Program »o Function �os Activity s7s <br /> Program <br /> TItIB REPAIR 5627 15T AVE SE 710109675 <br /> Work Order No 2������5 PfOjeCt ACtiVlty TyPE CORRECT�VE MAINTENANCE SfB�US CL <br /> StaWs vaizo�o Time os,aa Original W0 ____ Billing ___ ___ _ __ <br /> Gustomer Information <br /> Customer Name Customer ld <br /> Address 5627 StfEEt1STAVESE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 - Ext - — — <br /> 6Mail Address <br /> Problem Information <br /> Address 5827 Street �S7'AVESE <br /> From Cross Street <br /> To Cross :itreet <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested Bq Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfOW SCONST SEWER CONSTRUCTION(GR�NZNER) <br /> Contractor <br /> Assigned To OBS OLHAVA, BiiAD S <br /> Assigned By AGA AHlES,GREGORY A. <br /> Assigned Date __ _ _ , To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Routa Sequence <br /> Comments INVENTORY MATERIAL IN THE AMOUN�OF 551.82 WAS JOURNALIZED <br /> IN 2010 <br /> Action Taken REPAIRED BROKEN WYE AN�CLEANOUT. <br /> R¢CO�T1f17Clld¢d ACt1011 REPAIR BROKEN SECTION OF PVC SEWER LINE <br /> Approved By oes o�Hnvn,ertno s Job Cost Information(Y/Nj <br /> Start Date � � Time Date Completed veno�a_____ _ Permit No__ <br /> Compleled By Time Follow Up? <br />