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Issued By cSc <br />Issued Department Pw <br />Date Issued 6125I3015 <br />Fund aot <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />�,.,��• � <br />n;ao/zo,s i�.ai <br />Account 5 P�ogram �io FunGion ��y Activity srs <br />TIlIQ REPAIR 751NCH 2611 CADET WAY 710119675 <br />Work Order No 20151544 Pro�ect Activity 7ype SERVICE REOUEST <br />Status 6I25q015 Time �5n OnginalWO Billing <br />_ _.. __ <br />Customer Information <br />Customer Name ADAM Customer ld <br />Address Street <br />Apartment No City <br />Stale Zip <br />Subdi��is�nn Change Map Y/N <br />Phone No (+25 I�eo eeot Ext <br />Second Phone I �� Ext <br />E-Mail Address <br />Problem Information <br />Address pg�� Street CADETWAY <br />From Cross Street <br />7o Cross Streel <br />Cdy 7ip <br />Subdrvis�on Map Book Map Relerence <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Status c� <br />Requested By Mcu Mn��nNo cr+no � Date Requested 6125/7015 <br />Agency Related Request ooute3z <br />Indiated from �'Ua�ic PUBLIC <br />Utihty I-ocate (USn) No Called Date Expiration Oate <br />Assignment Inlormation <br />Dept vw r�uo� ic woRKs Pnonty Eshmated Haurs <br />Crcw <br />Contraclor <br />AssigneA To R�r rv�r[ �rrn. �n ;�N r <br />Assigned E3y <br />�ssignrd Dale To �e Comp Date <br />Scheduled Dale Scheduled Time <br />Route Route Sequenrr. <br />Comments <br />Action Taken COPPfR SPLIT ON CITY SIO[ �NSTALLCD NEW SETT[R AND DO% RFPlACEO COPPfR WITH <br />]I� POLV. <br />Recommended Action <br />Approved �y RJP �nr�ei-rr_n .in ;oN �� <br />Start Date � i Time <br />Completed By <br />Job Cost Inlormahon(Y/N) <br />Date Completed ��vzo�s Permd No <br />Time Follow Up'% <br />