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V_ <br /> Work Activity Work Order Page 1 <br /> 3/15/2006 9:44 <br /> Issued By CAG CRUM,GERRY <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 10113/2005 <br /> Fund 401 Accounts Program 710 Function 119 Activity 664 <br /> Progr 3m <br /> Title SO.75 INCH 215 79TH PL SE 04 710119664 <br /> Work Order No 20050973 Project Activity Type CORRECTIVE MAINTENA14CE SIaIUS CL <br /> Date 10113f2005 Time 10.52 Original WO 11756 Billing <br /> Customer Information <br /> Customer Name Customer!. <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No I I - Ext <br /> Second Phone I I • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 215 Street 79TH PL SE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Refere _e <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA)No Called Date Expiration Date <br /> Assignment Informatic 1 <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Sch sduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken - - <br />