Laserfiche WebLink
1►Vork f�ctivity Woe~k Order �'�n 1 <br /> z/i./znzc ii :o� <br /> ISSU2d BY HI.J HUSBY LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Dale Issued 1I912016 <br /> Fund ao� Account 5 Program Fur.cSon Ach��iry <br /> Progr,m ur�a�a 9 3 <br /> Tltl? CONVERT 75 INCH 7611 78TH ST UT3473�9J <br /> Work Order No Z0�6��76 Pf0J2CI Acliv�ty Type CORRECTIVE MAiYTENANCE SidiUS CL <br /> Status 'i9izo�5 Time o�a� Original WO _ Bllling ___ _________ <br /> Customer Intormation <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 ( 1 - Ext ___ _ _______. <br /> Second Phone ( 1 - Ext <br /> E-Mad Address _ — ----- <br /> Problem Information <br /> Address 16�� Street 38TH ST <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Da:e P,equested <br /> Agency Relaled Request <br /> Initialed From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By �� �.,,_ __ ' <br /> To Be Comp Date � � , ,. •�„l.,t. <br /> Assigned Date _ __ _ _ --- i./F (y.(Ay, �y K ��} <br /> . . \. \ . - �!� I_' ,•. 'Z+'i ar �':i <br /> Scheduled Date _ _ Scheduled Timz ___.___ � � - �'-- � �_ ;� <br /> Route Route Sequence • <br /> Comments <br /> Action Taken CONVERT.75 INCH CURESTOP TO 75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By wo� WEAVER, DEAN L Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed inzno�a_ __ Permit No ___ <br /> Completed By Time Follow Up7 <br />