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Page 1 <br /> Work Activity Work Order 4,�:,2�„ B:o, <br /> ISSUed By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued enoizo�a Account s Program �io Function t�a Activity 875 <br /> Fund <o� <br /> Piugram <br /> TItIQ REPAIR 75 INCH 4705 CARLTON RD 710119675 SfBtUS CL <br /> Pf0 BCI ACtlVify TyPe SERVICE R[OUEST <br /> WorkOrderNo 20131��Z � Billin <br /> Status si3ono�3 Time �5�2 Original WO 9 <br /> Customer Information Customer ld <br /> Customer Name OLHAVA.BRAD Street <br /> Address City <br /> Apartment No ZiP <br /> State Change Map YIN <br /> Subdivision Ext <br /> Phone No � � ' — <br /> Second Phone � � - Ext <br /> E-Mail Addre�s <br /> Problem Informatfan <br /> Address 4705 Stree! CARLTON RD <br /> From Cross Street <br /> To Cross Street `iP <br /> Ciry Map Book Map Reference <br /> Subdivision <br /> Problem lh'ATER WATER <br /> Sub Problem LEAK LEAK Date Requested siaaisa�a <br /> RBquested By HSR HOFFMAN,STEVEN H. <br /> Related Request oot2oto� <br /> Agency <br /> IniUated From INTER INTERNAL <br /> Utilit, Locate (USA) No <br /> Called Date Exoiration Date <br /> Assignment Infnrmation Priority Estimated Hours <br /> Dept P'N PUBLIC VVORKS <br /> Crew <br /> Contractor <br /> Assigned To oo� <br /> DR.452'..DAVID L <br /> Assigned By To Be Com�� Date <br /> Assigned Date <br /> :,cheduled Date Scheduled fime <br /> Route Route Sequence <br /> r CommRnts <br /> Actlon Taken REPAIRED KINHED COPPER.CUT OUT OAMAGED COPPER AND INSTALLED POLY 3 FEET. <br /> Recommended Actfon <br /> Job Costlnformation(Y/N) <br /> Approved By oo� urtnszr onvi�� Time Date Completed enizota Permit No <br /> - --- <br /> Start Date i � Follow Up? <br /> Time <br /> Completed By <br />