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Work Activity Work Order <br />ISSu2d By RJP RAPELYEA, JASON P. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1/1/2016 <br />Fund ao� Account 5 Program ��o Function 119 <br />Program <br />Title REPAIR 1102 RUCKER AVE 710119675 <br />Work Order No 20160005 Project Activity Type SERVICE REQUEST <br />Status 1/1/2016 Time 22:s� Oriainal WO Billinq <br />Customer Information <br />Customer Name BETZ, FEROL Customer ld <br />Address 1102 Stf@@t RUCKER AVE <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( a25 ) 2ssa2ss Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 1102 Street RUCKERAVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem <br />Page 1 <br />9/14/2016 8:41 <br />Activity s�s <br />Status c� <br />Requested By SJT SKAGEN, JEFFREY T. D2t@ R2qUeSted 1/1/2016 <br />Agency Related Request oo�ass2s <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 90 DEGREE SWIVEL FITTING WITH .75 INCH COMPRESSION FITTING, <br />.75 INCH INSTA-TITE FITTINGS, .75 INCH STREET 90, AND ONE FOOT OF 200 PSI .75 <br />INCH POLY. <br />Recommended Action <br />Approved By RJP RAPELYEA, JASON P. <br />Start Date i � Time <br />Job Cost Information(Y/N) <br />Date Completed 1/14/2016 Permit No <br />