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. . t-I ` <br /> Work Activity Work Order �,,;��'r;� ;� <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued snsnoae <br /> Fund qo� Account 5 Program �to Funclion �ts Activity ssa <br /> Program <br /> T1�10 SO 4 INCH 12728 19TH AVE SE 710119664 <br /> WOfk Ofd@f NO 2��a�4�2 F'roject Activity Type CORRECTIVE MAINTENANCE StefUS CL <br /> Dete 5I15I2008 Time �8:49 Original WO zoasos5� Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State -'� <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �Z�yg Street �gTH AVE SE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Re°erence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utilily Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time 3Q �0�+71�t1+ ( � l� <br /> Route Route Sequence 47 0 31V17 <br /> CORIf�ICf1t5 BILL JOB. NO DEPOSIT TAKEN ON THIS COST ESTIMATE.WILL BE <br /> BILLED.SHOULD BE ENOUGH MONEY TO COVER THIS FROM OTHER <br /> WORK ORDERS. <br /> Actiun Taken <br /> � <br /> � � ` � <br /> �� <br /> i <br />