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3 <br />Issued By WMW <br />Issued Department Pw <br />Date Issued 8/1512005 <br />Fund 401 <br />Program <br />SILL JOs <br />Work Activity Work Order Page 1 <br />9/14/2005 9:39 <br />WARD, MICHAEL W.—_-------- <br />PUBLIC WORKS <br />Accounts Program 710 Function 119 Activity 675 <br />Title REPAIR 9820 27TH AVE SE 710119675 <br />Work Order NO 20050782 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Date 8/15/2005 Time06:37 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone ( ) <br />Mail Address <br />Problem Information <br />Address 9820 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Exl <br />Street 27TH AVE SE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer Id <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />RECORD$ <br />IMP 29 2005 <br />Action Taken $429.50 DEPOSIT BY ROBERT NEHRING , 3216 WETMORE, EVERETT,WA 98201;ON CREDIT <br />CARD. TREASURERS RECEIPT #185849 <br />Completed By KTJ KELSO, THOMAS J. Job Cost Informatlon(Y/N) _ <br />Star! Date Time Date Completed 81115/2005 Time <br />Approved By Follow Up? Permit No <br />_J <br />