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Issued By csc <br />Issued DepartmentPw <br />Date issued soreno�z <br />Fund aai <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Pace 1 <br />ioiaizo�z is:5z <br />Account s Program ��o Function ��y Activiry s�s <br />Ti!le R: �AIR .75 INCH 1316 MADRONA AVE 710119575 <br />Work Jrder No 2012'L292 Project ACfiVlfy TyPO SERVICE FF.CUEST <br />St2tus toiaizotz Time �s:3s Original WO Billing __ __ <br />Customer Information <br />Customer Plame POMMER, SARAH <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( azs ) 392-2493 <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 1313 <br />From Cross Street <br />To Crass Street <br />Ciry <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Custamer ld <br />Street MADRONA AVE <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By HSR HOFFMF,N, STEVEN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utiliry Locate {USA) No <br />Assignment Information <br />Dept Pw PU9LIC WORKS <br />Crew <br />Contractor <br />Assigned To csc <br />Assigned By <br />Assigned Date ___ <br />Sc.!+e�uled Date <br />Rout.� <br />Comments <br />Zip <br />Map Book <br />Called Date <br />Prioriry <br />CAVANAH, SHANE G. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Change Map Y/N <br />Map Reference <br />Expiration Date <br />SfetUS PR <br />Date Requested �oianoiz <br />Related Request ao»azsa <br />Estimated Hours <br />Action Taken INSTAL LED SETTER SO V/E COULD METER IT TO CHECK FOR LEAK. FOUND LEAK ON CUSTOMER <br />S!DE 3 GAL PER MIN. <br />Recommended �ction <br />Approved By <br />Start Date � i <br />Completed By �n` <br />� <br />Job Cost Information(Y/N) <br />Time Daie Completed IC � 9 � r3__ Permit No <br />Time Follow Up? <br />