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Work Activity Work Order <br />- --______— - - <br />ISSU2d Bj/ CSG CAVANAH, SHANE G. <br />ISSU2d Department Pw PUBLIC WORKS <br />Date Issued 10/7/2015 <br />; � :. � ���. � <br />t'=, <br />���� � a . � � <br />Page 1 <br />7/18/2016 12:49 <br />Fund ao� Account 5 Program ��o Function 119 Activity s�s <br />Program <br />Title REPAIR 12 INCH 804 46TH ST SE 710119673 <br />Work Order No 20152215 Project Activity Type SERVICE REQUEST Status c� <br />Status 10/7/2015 Time os:55 Original WO Billing <br />Customer Information <br />Customer Name <br />Address soa Street asTH sT se <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No � 425 ) 931-2843 Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 804 Street 46TH ST SE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By SKL2 SMITH, KEVIN L. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To HMA3 HERNANDEZ, MIGUEL A. <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken KILLED 12" MAIN. <br />Recommended Action <br />Approved By RJP RAPELYEA, JASON P. <br />Start Date i � Time <br />__ _ _ _ _ <br />Completed By <br />Customer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Date Requested 10/6/2015 <br />Related Request oo�as�5� <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Information(Y/N) <br />_ __ -- --- -- _ -- ... <br />Date Completed 12/7/2015 Permit No <br />- __ _ .-- <br />Time Follow Up? <br />