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Issued By csc <br />Issued Department Pw <br />Date Issued 1/29/2016 <br />Fund ao� <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Page 1 <br />9/15/2016 10:51 <br />Account s Program ��o Function 119 Activity s�5 <br />Title REPAIR .75 INCH 2424 JACKSON AVE 710119675 <br />Work Order No 20160381 Project Activity Type SERVICE REQUEST <br />Status 1/29/2016 Time �5:a2 Oriqinal WO Billinq <br />Customer Information <br />Customer Name PRIZNER MICHELLE Customer ld <br />Address 2424 Stl'22t JACKSON AVE <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( 425 ) 737-3593 EXt <br />Second Phone ( ) - Ext — <br />E-Mail Address <br />Problem Information <br />Address 2424 Street JACKSON AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By GMJ2 GESLAK, MARTY J. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Map Reference <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept PW PUBLIC WORKS Priority <br />C rew <br />Contractor <br />Assigned To CSG CAVANAH, SHANE G. <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERTED TO SETTER AND JUMPER. VERIFIED NO LEAK FROM SERVICE. <br />Recommended Action <br />Approved By FBL FISHER, BOBBY L. <br />Start Date i i Time <br />Completed By <br />Status c� <br />Date Requested 1/29/2016 <br />Related Request oo�assas <br />Estimated Hours <br />Job Cost Information(Y/N) <br />Date Completed 1/29/2016 Permit No <br />Time Follow Up? <br />