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Work Activity Work Order Page � <br /> 11�2�2�1� 15:�, <br /> ISSII@d By SJTT SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ton��zo�o <br /> Fund aai Account 5 Program �to Function i�y Activity s7s <br /> Program <br /> Tifle REPAIR.75 1NCH 6109 COMMERCIAL AVE 710119675 <br /> Work Order No 20102563 Project Activiry Type SERVICE REQUEST Status c� <br /> Status �onano�o Time ts:sa Original WO Billing <br /> Customer Information <br /> Customer Name PUD,CREW DISPATCH GERRY CUSIOt�1B�Id <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No ( azs ) 787-5524 Ext <br /> Second Phone ( 1 • Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Address g�pg Slreet COMMERC/AL AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER ' <br /> Sub Problem LEAK LEAK <br /> Requested By HSR HOFFMAN,STEVEN R. Det2 ReQU05ted 1 011 312 01 0 <br /> Agency Reiated Request o0o92oos <br /> Initiated From PUdLIC PUBLIC <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pr�oriry Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To SJT2 SPOONER,JAMES T. <br /> Assigned By <br /> Assigned Date To Be Comp Date __ <br /> Scheduled Date Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken pUD HIT.751NCFi SERVICE BETWEEN MAIN 8 CURBSTOP.CUT OUT 4'OF.751NCH CO�PER <br /> AND PUT IN 4'.i 5 INCH POLY WICOPPER CCMP.X INSTAS. <br /> Recommended Actfon <br /> AppfOV@d By JJM JESMER,JEFFREY M. JOb COSI 111fOfrt18lI0f1(Y/N) <br /> Start Date � � Time Date Completed tonano�a Permit No <br /> Compieted By Time Follow Up? <br /> yz <br />