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Issued By s�Tz <br />Issued DepartmenlPw <br />Date Issued �mvxoio <br />Fund ao� <br />Program <br />Work Activity Work Order <br />SPOONER, JAMES T. <br />PUBLIC WORKS <br />Page 1 <br />12/28/2011 15:41 <br />Account s Program »o Function ita Activity e7s <br />I IIIQ REPAIR 75INCH fi83G BERKSHIRE DR 7101196'S <br />�Nork Order No 20102530 Project Activity 1'ype SERVICE REOUEST <br />�iatus iorvzoic Time nzn Original WO Billing <br />Customer Informatlon <br />Customer Name GRIFFIN. LARIDAN <br />Address 6eao <br />Apartment No <br />Slate <br />Subdivision <br />Phone No ( 425 1 755-4849 <br />Second Phone ( <25 1 270-8252 <br />E-Mail Address <br />Problem Information <br />Address 6830 <br />From Cross Street <br />To Cross Streel <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By HSR HOFFMAN, STEVEN R <br />Agency <br />Initiated From PUBLIC PUBUC <br />UUlity Locate (USA) No <br />Asslgnment Informatlon <br />Dept <br />Crew <br />Contractor <br />Assigned To s�tz <br />Assigned By <br />Assigned Date <br />Scneduled Dale <br />Rouie <br />Comments <br />SlfBOt BERKSHIHE DF. <br />City <br />Zip <br />Ext <br />EXl CELI <br />Street BERKSHIREOR <br />Map Book <br />Called Date <br />SPOONER JAMES T <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken SETTER INSTALLED PER MEASUREMENTS ON CHART <br />Recommended AcHon <br />Approved E3� SDG SMITH DHVID G <br />Start Date i i 'i ime <br />Completed By <br />Customer ld <br />Change Map Y!N <br />Sta;us a <br />Zip <br />Map Reference <br />Date Requested s�amso�o <br />Related Request 000ete�o <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Information(YIN) <br />Date Completed �tivto�� <br />Time Follow Up? <br />Permit No <br />C� <br />