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Issued By wMw <br />Issued Depariment �w <br />Datelssued nzn2oo7 <br />Fund aot <br />Proc�ram <br />Work Activity Work Order <br />WARD, MICHAEL W. <br />PUBLIC WORKS <br />i%��!����i1'.s <br />Account s Program »a Function ��y Aclivity s7s <br />-�����, RFPAIR 724 LAUftEL UR 770719675 <br />Work Order No 20070749 Project Acfivily Type seFivirE REouesr <br />Date 7�27noo� Time o7:a3 Oriyinal WO zomo�4s Billing <br />Customer Information <br />Customer Name FORSYINE, MIKE <br />Address na <br />Apartment No <br />State <br />Subdivision <br />Phone No ( azs 1 2s2ao7z <br />Ser,ond Phone 1 azs I 577-20G7 <br />E-Mail Address <br />Problem Information <br />F�ddrass 724 <br />From Cross Slreel <br />To Cross Slreet <br />Cilv <br />Subdivision <br />S�fC2� LAUREL DR <br />City <br />Zip <br />Ext <br />Ext ce�� <br />Slreel LAUREL DR <br />Problem WATER WATER <br />Sub Problem <br />RC(j�105�Cd BY HSR HUFFh1AN, STEVEN R. <br />Ar�cncy <br />Initialed From PU�LIC i�uouc <br />Utilify Locale (USA) No <br />Assignment Information <br />I�epi PW PU�LIC WORKS <br />( � c�7 <br />r � � �ntraclor <br />,.�..;i_ined To K7� <br />/�ssigned By <br />, ,.�aned Dale �nsizoo7 <br />Scheduled Date <br />Roufe <br />Commcrts <br />Map Book <br />Called Date <br />KE:SO, THOM11AS J. <br />To Be Comp Dale <br />Scheduled Time <br />Route Sequence <br />ACtIOt� TekCfl REPLACED CUR[3 STOP WITH SETTER. <br />Customer ld <br />Zip <br />Changeldap Y/N <br />P:tap Reference <br />Expiration Date <br />S�eIUS CL <br />Date Requested nzsnoo7 <br />Related Request 000eaa9e <br />Priori�y Eslimated Hours <br />CO��1�IC1@d E3Y KTJ KELSO, THOh1A5 J Approved By <br />Slart Oatc i � Timr. Date Compleled �nznooT <br />.lob Gcst Informalion(Y/N) Fcllow Up? Permit No <br />Problem Details <br />RCOUEST S/O TO REPAIR LINE LEAK. CURB STOP DOESN'T SHUT <br />fimC <br />