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Issued By csc <br />Issued DeF3rtment ��w <br />Date Issued tv:5�zo•�a <br />Fund ao� <br />Program <br />Work Activity �Nork Order <br />CAVANAH, SH4NE G. <br />PUBLIC WORKS <br />Fagc 1 <br />��i��zoia io:�i <br />Acwur�ts Program »o Function �t9 Activity 6�s <br />Ti�l@ REP.41R .i51NGH 660? BEF,KSNIRE OR 77�715d75 <br />WOfk O(dBf NO 201337fi0 P�OjRCI ACGVity TyPB SERVICE REOUEST <br />Status 11f2512013 Time iw�a Oiiginal'vV0 Billing <br />Customer Information <br />Customer Name MADDOX <br />Address 5eo2 <br />Apartment No <br />State <br />Subdivision <br />Phuli@ NO 1 425 ) 876•3467 <br />Second Phone ( 1 - <br />E•Mail Address <br />Problem Information <br />Address 6602 <br />From Cross Street <br />To Cross SUeel <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requestea By SKL2 SMITH, KEV.N L <br />Agency <br />Ini!iated From Puei.ic PUBLIC <br />Util�ty Locate (USA) �o <br />Assignment Informatlon <br />Depl PW PUBLIC WORKS <br />Crew <br />Conlractor <br />Assigned To csc <br />Assigned 8y <br />SIfEB! BERKSHIRE Dr� <br />City <br />Zip <br />Ext <br />Ext <br />Street BERKSHIRE DR <br />Map 800k <br />Called �ate <br />CAVANAH, SHANE G <br />Cuslomer ld <br />Change Map Y/N <br />S1i�fU5 CL <br />Zip <br />Map Reference <br />Date Requested �v2siso�a <br />Related Request ootzsses <br />Expiration Date <br />Pricrity Estimated Hours <br />Assiyned Date To Be Comp Date <br />Scheduled Dale Scheduled Time <br />Roule Route Sequence <br />Comments INVENTORY MATERIAL IN THE AMOUNT OF 5258.37 WAS JOURNALIZED <br />IN 2013 <br />Action Taken LEAK ON POLY LINE. RENEWED FROM MAIN TO SET7ER. <br />Recommended Actlon <br />Approved By MWE MOORE, WARREN E <br />Start Date � � Time <br />Completed By <br />Job Costlntormation(Y/N) <br />Date Completed �v3nota <br />Time Follow Up? <br />Permit No <br />