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Work Activity Work Order <br />Issued By CSG CAVANAH, SHANE G. <br />Issued Department PW PUXIC WORKS <br />Page 1 <br />5/25/2012 12:14 <br />Date Issued SIV2012 Function 119 Activity 675 <br />Fund 401 Accounts Program 710 <br />Program <br />Title CONVERT .76 INCH 717 33RD ST 710119675 <br />Activity Type CORRECTIVE MAINTENANCE Status CL <br />Work Order No 20120626 PfOJBCt <br />Status 502012 Time 07:27 Original WO Billing — <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No I I <br />Second Phone <br />E-Mail Address <br />Problem Information <br />Address 717 <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 />Assigr,ad To <br />Assigned By <br />Assigned Date <br />Scheduled Date _ <br />Route <br />Comments <br />Action Taken FLAT TO METER. <br />Recommended Action <br />Customer Id <br />Street <br />City <br />Zip <br />Change Map YIN <br />Ext _ <br />Ext <br />Street 33RD ST <br />Zip <br />Map Book Map Reference <br />Date Requested <br />Related Request <br />Called Date Expiration Date <br />Priority Estimated Hours <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Approved By SDG SMITH, DAVID G. Job Cost Information(Y/N) <br />Time _ Date Completed 5nt2012 Permit No <br />Start Date r Time Follow Up? <br />Completed By __ --- - <br />