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Issued By SJT2 <br />Issued DepaRrnentPw <br />Date Issued �mZo�s <br />Fund aot <br />Program <br />Work Activity Work Order <br />SPOONER, JAMES T. <br />PUBLIC WORKS <br />pa5n 1 <br />2/25/2C15 1Jr43 <br />Account s Program »a Function �iy Activiry 6�3 <br />T�tl2 REPAIR SINKHOLE 4377 FEDERAL AVE 710119673 <br />WO�k Old2f NO 2��50�20 PfOJeCI Activiry Type SERVICE REOUEST <br />Status �nnots Time oszi Original WO Billing <br />Customer Information <br />Customer Name KEVIN Customer ld <br />Addf855 4717 SlfeSt FEDERAL AVE <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No ( azs 1 2�2•80�6 Ext <br />Second Phone ( > • Ext <br />E-Mail Address <br />Problem Informaticn <br />Address 4317 Street FEDERAL AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdlvision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem <br />Requested By MCU MALIAND, CHAD L <br />Agency <br />Initiated From PUBLIG PUBLIC <br />Utility Locate (USA) No Cafled Date Expiration Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS Pf10fdY <br />Crew <br />Contractor <br />Assigned To HLJ HUSBY, LANCE J <br />Assigned By <br />Assigned Date _ To Be Comp Date _ <br />Scheduled Date Scheduled Time __ _ <br />Route Route Sequence <br />Comments <br />Action Taken pUMPED APPROX. 7 YDS OF SLURRY IN OLD WOOD MAIN AT ABOVE ADDRESS. <br />Recommended Action <br />Approved By WDL WEAVER, DEAN L. <br />Start Date i i Time <br />Completed By <br />$f8tU5 CL <br />Date Requested vsno�s <br />Related Request oot172sa <br />Estimated Hours <br />Job Cost Information(Y1N) <br />Date Completed v27�20t5 _ Permit No <br />Time Follow Up? <br />