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�✓ �H �-� <br />; � i �' J `� � <br />1 � -r,�� �, <br />' w � �� � <br />Work Activity W�rk � <br />� n � <br />���� ��_ � <br />C���% � <br />,, <br />�� <br />er - 3�1�� �, <br />ISSUCd By WMW WARq MICHAEL W. �—� <br />ISSUO(1 CC�B:ifllBfll PW PUBLIC WORKS <br />�ate Issued 11/1 3120 0 5 <br />Fund ao� Account s Program »o Function t�9 <br />Progc�m <br />TItIC REPAIR 615 LAUREL DR 710779673 <br />Vdork Order No 20051070 Project ACGViIY TYPP, SERVICE REQUEST <br />Date iv+n,zoos Timeoe:oe Originai WO Billing <br />Customer Information <br />Cuslomer Name CHURCH, <br />Address 615 Slf2Et LAUREL DR <br />Aparlment Nr, Ciry <br />State Z�P <br />Subdivision <br />Phone !Jo ( azs 1 zsz-eta� Ext <br />Seco�id Phone ( ) • Ext <br />E-P✓lail Address <br />Problem Information <br />Address 615 <br />From Cross Slreet <br />To Cross Slreet <br />CI(! <br />Subdivision <br />Slreel LAUREL DR <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By GGW GftAVES. GARY W. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utiliry Locate (USA) No <br />Assignment Inforrnation <br />Dept PW 'U�LIC `PlORKS <br />Crew <br />Contractor <br />Assigned To Nso <br />Assi ned By <br />Map Boak <br />Called Date <br />NIELS[N. SCOTT O. <br />Cuslomer ld <br />'LI� <br />Change Map 1'/N <br />Map Re(erence <br />Expiration Date <br />ACIIVifY 673 <br />Date Requesled 1111 312 0 0 5 <br />Related Request oaosis�� <br />Priorily Estimated Hours <br />9 To Be Comp Date <br />Assigned Dale <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments INVENTORY MATERIAL IN THE AMOUNT OF S 110.75, WAS <br />JOURNALIZED IN 2005 <br />Action Taken INSTALLED WRAP A ROUND ON BEAM LOAD. <br />�J-� o � <br />Compleled By �r>�i) ��j �✓�°"�% Job Cost Information(YIN) <br />Start Date i i rme Date Completed �� ��rl/ � BCr <br />Approved By Follow Up? Permit No <br />Time <br />