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oy9e 1 <br /> Work Activity Work Order 5,1„��,3 13:39 <br /> ISSU2d BY CSG CAVANAH,SHANE G. <br /> issued Department Pw PUBLIC WORKS <br /> Date Issued y1y2074 Account s Program »o Activi <br /> Fund aoi Function ;�9 bf 675 <br /> Program <br /> Title REPAIR.751NCH3002EVERETTAVE710179675 <br /> 20140450 Pro ect Activity Type SERVICE REQUEST StelllS CL <br /> Work Order No � <br /> Status v�zi2oia_ _Time taas___Original WO ____ Billing__ __ __—___ — <br /> Customer Information Customer ld <br /> Customer Name siMmoNs,HeaTHErt <br /> Address 3ooz Sf(2B� EVERETT AVE <br /> Apartment No City <br /> 5:�}e Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( n25 ) 870J989 Ext __ -- ---- ----- <br /> Second Phone ( ) • Ext <br /> E-Mail Address — —" <br /> Problem Information <br /> Address 3002 Street EVERETTAVE <br /> From Cross Street <br /> To Cross Street ZiP <br /> City Map Book Map Re!erence <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK Date Requested titv2ui< <br /> Requested By DRA DURR4NT,ROGER A <br /> Related Request oo�znae <br /> Agency <br /> Initiated From PUBLIC aueuC Called Date Expiration Date <br /> Utility Locate (USA) No <br /> Assignment Information Priori Estimated Hours <br /> Dept Pw PUBLIC WORKS ty <br /> Crew <br /> Contractor <br /> Assigned To CSG CAVANAH,SHANE G. <br /> Assigned By To Be Comp Date <br /> Assigned Date __ - - <br /> Scheduled Da:a Scheduled Time _ _. _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken WENT BACK TO 314 COPPER AND RENEWED THIN WALL POLY WITH NEW 3l4 POL�'FROM <br /> COPPER TO SETTER. <br /> Recommended Action <br /> Approved By BRP BIGLEY,RYAN P. JOb COSI IflfOffll2ll0f1(YIN) <br /> — Time Date Compieted 2H312014 Permit No <br /> Start Date i � ------ — -- <br /> Completed Dy <br /> Time Follow Up7 <br />