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1. <br /> 1 <br /> Work Activity Work Order `"'�` � <br /> , . �: <br /> ISS�Cd BY � CSG CAVANAH, SH�.NE G. <br /> Issued Oepartment vw PUBLIC WORKS <br /> Date Issued SIB�:u�s <br /> Fund �o� Account s Program »o Funcuon i�y ACUwry e�s <br /> Program <br /> T�tle RFPAIP ):INCH 9231 BARING WAV 710119675 <br /> Work Order Nu 20151118 Pro�ect Actndy 1'ype SFRVICE REOU('ST Status c� <br /> Status s�arzoi5 Time �< �5 Orgmal WO Billing <br /> Customer Information <br /> Customer Name JOHN WI7H�AV AND NIGHT PLUMBI Customer ld <br /> Addf255 9Z�7 $ifCet BARING WAY <br /> Apartment No ���Y <br /> State Z�P <br /> Subdrvision Change Map V/N <br /> Phone No l �25 � Soe�ae5e Ext <br /> Secand Phone � � . Ext - --- - _ - - - - --_. <br /> E-Mad Address <br /> Problem Information <br /> Address gy3� Street BARING WAY <br /> From Cross Street <br /> To Cross Street <br /> City Z'p <br /> Subd�vision Map Book Map Referecce <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requesled By Mert n�oss eieinN a Date Requested siarZo�s <br /> Agency Related Request oo�aoae6 <br /> IniUaled From Pueuc Nu�uc <br /> Utility Locate (USA) No Called Date Eapuation Date <br /> Assignment Information <br /> Dept PW r�ueuc woRKs Pnonry Est�maled Hours <br /> Crew <br /> Conlractor <br /> nss�gnen To csc ChVAN�H,SHANfl G <br /> Assigned By <br /> Assigned Date _ To Be Comp Date __ <br /> Scheduled Dale Scheduled Time <br /> Raule Route Sequence <br /> Ccmments <br /> Ac•.ion Takcn SAW CUi AND REPLA�ED SHUT OFF WITH SETTER AND MOLDED PLASTIC BOX AN�RESTORED. <br /> Recommended Aclion <br /> Approved By F8� FisNen ooeev� Job Cost Informalion(Y/N) <br /> - - _ ._ <br /> — ------ _- - <br /> Start Date � � Time Date Completed sizno�s Permit No <br /> --- _ - - - <br /> Completed By Time Pollow Up� _ <br />