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. . . -3' - ;�" F.' �. <br /> . .� r� . ..� .. <br /> �.. i. .- . . .. _ . . . <br /> Work Activity Work Order P�°�� ' <br /> 6/26/2006 5:7_5 <br /> Is�ued By CAG CRUM,GERRY <br /> Issued Dep2rtment aw PUBLIC WORKS <br /> Date Issued sivzooe <br />� Fund aot Account 5 Program i�o Function »g Activity 5sa <br /> Program <br /> TiIIQ SO 21tJCH 17320 19TH AVE SE 710715664 <br /> WO�k OfdOf NO 20061055 PfOjBCt ACflVlfy TypB CORRECTIVE MAINTENANCE St2tU5 CL <br /> Dale snnoos Time t22a Original WO tzo�� Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map ';'N <br /> Phone No ( ) • Exl <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 11340 Streel �gTHAVESE <br /> From Cross Slreet <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> IniUated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information • <br /> Dept Priority Estimated Hours <br /> Crew <br /> IContractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Gate Scheduled Time <br /> Route Route Sequence <br /> Comments WATER SERVICE PER GERRY CRUM 8 JAY MCGILL.DOT ASST PROJE(:T <br /> ENGINEER JANICE FAHNING 425-225•8799.PERMIT COUNTER SENT <br /> REQUEST FOR BILLING TO ACCOUNTING IN THE AMOUNT OF S7B0.00 <br /> TO DOT <br /> IAC�IOtI T8kBf1 GREEN LANTERN PARK. <br /> Completed By DDK DANLY,DARREL K. App�OVOd By <br /> Start Date i I Time Date Completed enl2oos Time <br /> Job Cost Information(Y/N) Follow Up? Permit No <br /> 4/� <br />