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ra_e _ <br />Work Activity Work OrdEr ;,�,;�,,; :, _ <br />ISSUEd By � CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Daie Issued vz3not� <br />Fund ao� Account s Program »o Function »s Activity 675 <br />Program <br />TItlB REPAIR ]51NCH 1930 LEXINGTON AVE 7 i0119675 <br />Work Order No 20130226 Project Activihj Type SERVICE RE�UEST Status c� <br />Status v.'rzois Tim_ ic:as Ori inalWO Billing_ __ <br />_ — -- -- <br />'' p — — -- 9— — ------- <br />Customer Information <br />Customer Name SUE SIDICK INFRASOURCE ENERGY <br />Address 19:10 Stf22i LEXINCiTON AVE <br />Apartment No City <br />State Z�p <br />Subdivision <br />Phone No ( 360 ) 913-0803 Ext <br />Second Phone ( 3E0 ) 913-J739 E%t <br />E-Mail Address <br />Problem Information <br />Address 1930 Street �EXlNGTON AVE <br />From Cross She�_�t yyqSHINGTON „VE <br />Tc Cross Street <br />City <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Preblem LEAK LEAK <br />�:equested By CCM CABE, CHAD M. <br />\gency <br />iritiated From OTHER OTHER <br />Uiiliry Locate (USA) No Called Date <br />Assignment Infor�.nation <br />Dept Pw PUBLIC WORKS <br />C rew <br />Cuntracror <br />Assigned To csc c�v�NN.r�. s�ir,rie c. <br />Assigned By To Be Comp Datz <br />Assigned Date ____ __._ <br />Scheduled Date _ Scheduled Time <br />Route Route Sequence <br />Comments <br />ACti017 T8kC11 REPAIRED 751NCH SERVICE. <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested v2�izo�s <br />Related Request oo»eno: <br />Expiration Date <br />Priority Estimated Hours <br />Recommended Action <br />Approved By RBN RosertTs, eRinN N. ; Job Cost Information(YIN) <br />Time Date Completed 1/2912013 Permit No <br />StartDate ---� i -- — <br />Comolete- Dy Time Follow Up? — <br />� <br />