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Issued By csG <br />Issued Department Pw <br />Date Issued a�aizots <br />Fund 40� <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Page 1 <br />9/14/2013 11:53 <br />Account 5 Program �to Function »9 Activity a�s <br />l lfl2 REPAIR .75 1NCH 3332 FEDER4L AVE 710119675 <br />Work Order No 2��3���7 Project Activity Type SERVICE REQUEST <br />Status 4132013 Time oe:as Original WO _ Billing_ <br />Customer Information <br />Customer Name SORGAN, eoe <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( a25 ) 2�oaaot <br />Second Phone � > - <br />E-Mail Address <br />Problem Information <br />Address 3332 <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street FEDERAL AVE <br />Map Book <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By HSR HOFFMAN,STEVEN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No <br />Assignment Informatian <br />Dept Pw PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To csc <br />Assigned By <br />Assigned Date _ . <br />Scheduled Date ___ <br />Route <br />Comments <br />Action Taken REPAIRED SERVICE. <br />Recommended Action <br />Called Date <br />CAVANAH,SHANE G. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Approved By RBN ROBERTS, BRIAN N. <br />Start Date � /____ Time <br />Compieted By _______ <br />Customer ld <br />Change Map YIN <br />S�OfUS CL <br />Zip <br />Map Reference <br />Date Requested a�snol3 <br />Related Request oo�ls3�e <br />Expiration Date <br />Priorit�� Estimated Hours <br />Job Costlnformation(Y/N) <br />Date Completed a�ano�s Permit No <br />Time Follow Up? <br />