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ISSU@Cl By RJP <br />Issued Department Pw <br />Date Issued 2i2no�s <br />Fund ao� <br />Program <br />Work Activity Work Order <br />RAPELYEA, JASON P. <br />PUBLIC WORKS <br />Page 1 <br />9/15/2016 11:01 <br />Account s Program ��o Function ��s Activity s�5 <br />Title REPAIR .75 INCH 1005 NORTH PARK DRIVE 710119675 <br />Work Order No 20160417 Project Activity Type SERVICE REQUEST <br />Status 2/2/2016 TIITl2 15:39 Original WO Billing <br />Customer Information <br />Customer Name MATT Customer ld <br />Address 1005 Stf@@t NORTH PARK DR <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No i 425 ) s�oa2a� Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 1005 Street NORTH PARK DR <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Status c� <br />Requested By MCL1 MALLAND, cHA� �. Date Requested 2/2/2016 <br />Agency Related Request oo�assss <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS Priority Estimated Hours <br />C rew <br />Contractor <br />Assigned To RJP RAPELYEA, JASON P. <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPLACED .75 INCH COPPER WITH 2 FEET OF 200 PSI POLY. INSTALLED SETTER, JUMPER <br />AND BOX. <br />Recommended Action <br />Approved By HSG HOLLO, SAMUAL <br />Start Date i i Time <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed 3��i2o�s Permit No <br />Time Follow Up? <br />