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Work Activity Work C)rder <br />ISSUOd Hy SJT2 SPOONER, JAMES Y. <br />Issued Departmentrw PUBLIC WORKS <br />Date Issued zlsnoio <br />Fund qo� Account s Program »o Function »y <br />Program <br />T111B REPAIR .75 INCH 5711 LOMBARD AVE 710119675 <br />WorkOrderNo 20100276 Project ActivityType SERVICEREQUEST <br />Status 'L5/2010 Time �0:2o Original WO Billin <br />— ---9--- <br />Customer Information <br />Customer Narne HAGULUND, KYLE <br />Address <br />P.partment No <br />State <br />Subdivision <br />Phone No ( 4z5 ) 35s�ssso <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 5711 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Customer ld <br />Street LOMBARD AVE <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested E3y MBR MOSS, BRIAN R. <br />Agency <br />!nitiated From ausLic PUBLIC <br />Utiliry Locate (USA) No <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To s�rz <br />Assigned By <br />Assigned f ate _ <br />Sched�'• ate <br />Route <br />Comments <br />Zip <br />Map Book <br />Called Date <br />Priority <br />SPOONER, JAh1ES T. <br />To Be Comp De:e <br />Scheduled Time <br />Route Sequence <br />Change Map Y!N <br />Map Reference <br />Expiration Date <br />Page 1 <br />3/18/2010 13:58 <br />Activity 6�s <br />Status c� <br />Date Requested 2lai2o�o <br />Related Request 000aeoos <br />Estimated Hours <br />Action Taken LEAK ON CITY SIDE AT MAIN CONTRACTOR PACKJOINT..75 IGCH. PUT IN INSTA•UNION <br />WITH 2 FEET OF POLY. <br />Recommended Action <br />Approved By WOL wEAVER, oEnN �. Job Cost Infortnation(YIN) <br />Start Date I I Time Date Coinpleted y;�zoto Permit No <br />Completed By Time Follow Up7 <br />