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Work Activity Work Order °z'�� � <br />a,zs�z��o �a:�z <br />ISSU�d By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Da!e Issued n3oizo�o <br />Func' not Account s Program ��o Function »9 Activity s�s <br />Frog�am <br />T Ill2 REPAIR 75INCH SERVICE 620 LAUREL DR i 10719675 <br />Work Order No z��Oz22� PfOf2C� Activity Type SERVICE RE�UEST $t8h15 CL <br />Status ��soizoto Ti�ne 2o:�e Ori inal WO ____ _Billing _ __ __ __ _. <br />— -- --9 -- -- -- <br />Cuslomer Informalion <br />Customer Name GREENLEAF MIKE Customer ld <br />Address Street <br />Apanment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No � 425 ) 923•J3'13 EX� _ <br />Second Phone ( ) • Ext — -- <br />E-Mail Address _ _ _ - <br />Problem Information <br />Address Street gELL AVE <br />From Cross Street 34TH ST <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By Moc MccoNn�Hv, onwo c. Date Requested ��am2aio <br />Agency Related Request 000eoz�z <br />Initiated From PUBLIC PUOLIC <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept P'N PUBLIC 1VORKS Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To eKe �LADOVJ, KEV!N B. <br />Assigned By <br />�ssigned Date __ To BP Comp Date <br />Scheduled �ate Scheduled Time <br />Route Route Sequence <br />C�mments <br />Action Taken CONl'RACTOR PAG JOINT - REPLACEf. WITH CTN AND POLY TO COPPER. DONE ON CALL OUT. <br />�IDN'T LOOK FOR SHUT OFF. NO AS-BU!LT. <br />ftecommended Action <br />Approved By JJM JESMER, JEFFREY h9. <br />Start Date i � Time <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed en�noio Permit No __ <br />Time Follow Up? <br />