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V1!ork Activity Work Order page 1 <br /> 10/31/2012 7:50 <br /> ISSUed By CSG CAVANAH,SHANE G. <br /> Issued DepaRmentPw PUBLICWORKS <br /> Date Issued 911 912 01 2 Activi e�s <br /> Fund ao� Account 5 Program 7to Function tie ry <br /> Program <br /> Title REPAIR 751NCH 4726 ELh1 ST 710119675 <br /> Work Order No 20122172 Project Activity Type SERVICE RE�UEST Status c� <br /> Status ensno�z Time issa Originai WO __ Billing _ _ <br /> Customer Information <br /> Customer Name BARGE,DAN APPOLLO PLUMBING Customer ld <br /> Address a�ze Street e�m sr <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( azs ) 3s�aso� Ext _ ___ <br /> Second Phone ( ) • Ext <br /> E-Mail Address __—_---- -- <br /> Problem Information <br /> Address q7yg Street ELM ST <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 GMA1 GOGAL,MARJORIE A. DOfe ReqUeSfed 911 9120 7 2 <br /> Agency Related Request oott2e�9 <br /> Initiated From rusuc PUBUC <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assign2d TO �E WESNANG,TERRY E. <br /> Assigned By <br /> Assigned Date __ To Be Comp Date <br /> Scheduled Date ______ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REMOVED CURBSTOP.7 INCH SETiER ALREADY THERE. <br /> Recommended Action <br /> Approved By DDL ow+szT,onvio�. Job Cost Information(YIN) <br /> Start Date I i Time _ Date Completed sm�zo�z Permit No ___ <br /> Completed By -- _ ------- Time _ Follow Up?------ <br /> + <br />