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Work Activity Work Order pa9e 1 <br /> 9ii�iz�iz !s:se <br /> ISSU2CJ By CSG CAVANAH,SHANE G. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued eNs�2o1z <br /> Fund ao1 Account s Program �to Function »y Activity 6�5 <br /> Program <br /> TIIIB REPAIR.75 iNCH 4726 ELM ST 710119675 <br /> Work Order No 2�1Z2��z Project Activity Type SERVICE REQUEST Status PR <br /> Status snvzoi2 Time is:sa Original WO _ Billing <br /> Customer Information <br /> Customer Name BARGE,DAN APPOLLO PLUMBING Customer ld <br /> Address a�ze Street E�nn sr <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 425 ) 3e�-�so� Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 47Zg Street ELM ST <br /> From Cross 5treet <br /> To Cross Street <br /> Ciry Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By GMA1 GOGAL,MnR�oRiE A. Reiated Request ao 1/26ie <br /> Agency <br /> Initiated From PUBLIC PUBLIC <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 /> Assigned To �E 4VESNANG,TERRY E. <br /> Assigned By To Be Comp Date � � � � � �,�% � <br /> Assigned Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments „ ��� �\�� � �� <br /> � Q C.��b <lo n � •� -� <br /> Action Taken --� <br /> y <br />