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Pa9e 1 <br /> Work Activity Work Order l�,li,�ol� 15:50 <br /> -- -- ---------------- <br /> _ _ _ _ - _ _ <br /> ISSUed By CSG CAVANAH,SHANE G. <br /> Issued Department aw Pueuc woRKs <br /> Date Issued 912 612 01 2 Function »� Activity e�s <br /> Fund ao� Accounts Program �to <br /> Program <br /> TItlB REPAIR.751NCH 6512 ELIIOTT WAY 710719675 <br /> ACIIVI T e SERVICE FE�UEST S�2[US CL <br /> Work Order No 20122238 Project ty yp <br /> __--- Billin9 _ - <br /> Status sizsizotz Time �o:oz Original WO_ _ <br /> Customer Information Customer ld <br /> Customer Name WOLF,DAN <br /> Addres� 6512 Sf(B0� ELLIOTT WAY <br /> Apartment No City <br /> State Z�P <br /> Change Map Y/N <br /> Subdivision <br /> Phone No ( az5 ) 903-2374 Ext ___ - <br /> Second Phone ( > - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 6512 Street ELLIOTT WAY <br /> From Cross Street <br /> To Cross Street Zip <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK Date Requested 912512012 <br /> RequestedBy GMA1 GOGAL,MARJORIEA. <br /> Related Request ooi�zszs <br /> Agency <br /> Initiated From PUBLIC PUB��C Called Date Expiration Date <br /> Utiliry Locate (USA) �o <br /> Assignment Information Priority Estimated Hours <br /> Dept Pw PUBLIC WORKS <br /> Crew <br /> Contractor <br /> Assigned To CSG CAVANAH,SHANE G. <br /> Assigned By To Be Comp Date <br /> Assigned Date - <br /> Scheduled Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPAIRED POLY WITH INSTATITE UNION. <br /> Recommended Action <br /> Job Cost Information(YIN) <br /> Approved By wo� wEnveR,oEAN�. — Permit No <br /> Start Date i i Time _ Date Compteted �atoizotz ---- - -- <br /> Completed E,y Time Follow Up? ___ _-_- _ <br />