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_ �, <br /> Work Activity Wr�rk Oraer ��9�� ' <br /> � -���,�o� � �::; <br /> ISSUCd By WMW WARD,MICHAEL W. ' <br /> Issued Deparlment Pw PUBLIC INORKS <br /> Date Issued �noizaoe <br /> Fund oo� Account 5 Program »o Function ��y Activity 6» <br /> Program <br /> TItlO REPAIN 4930 ELM ST 710119675 <br /> Work Order No 20051206 Project Activily Type SERVICE REOUEST Status c� <br /> Date ��2oi2oos Time o�:za Original WO Billing <br /> Customer Infarmation <br /> Customer Name BERGSTROM,RON Customer ld <br /> Address as3o Street e�M sr <br /> Apartment No City <br /> State Zip 9ezo3 <br /> Subdivision Change Map Y/N <br /> Phone No ( 4z5 ) 259aoaa Exl <br /> Second Phone l ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 4930 Street ELM ST <br /> From Cro�s Streel <br /> To Cross Street <br /> Cily Zlp 98203 <br /> Subdivision Map Book Map Reference <br /> f'�, �Iem WATER WATER <br /> Suo Problem LEAK LEAK <br /> Requested By HSR HOFFMAV,STEVEN R. DBfB R2qU0SlBd 711912006 <br /> Agency Related Request 000se�ea <br /> Initiated From PueuC PUBLIC <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To WMW WARD,MICHAEL W. <br /> Assigned By <br /> Assigned Date �����Zoas To Be Comp Date R�+ �Q�AS <br /> Scheduled Date Scheduled Time AUG 2 41006 <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLSCED 2FT OF 6"CI DUE TO CRACKED BELL <br /> Completed By KTJ KELSO,THOMAS J. ApP�OvOd By <br /> Start Date � � Time Date Compleled n2oi2oos Time <br /> Job Cost Iniormation(Y/N) Follow Up? Permit No <br /> Problem Details <br /> LOOKS LIKE LEAK ON SERVICE FOR 4935 ELM. W/LL REPAIR IN AM. <br />