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Work Activity Work Order <br />2age 1 <br />e/is/zoii ia:ii <br />ISSU@d BY CSG CAVANAH, SHANE G. <br />Issued Department Pw PueLlc vYORKS <br />Date Issued �n�i2ott Activi <br />Fund 4ot Account s Program �to Function tt4 ty!76 <br />Program <br />Tltl@ REPAIR .75 INCH 3911 HIGH ST 710719675 <br />Work Order No 20111046 Project Activily Type SERVICE REQUEST Status c� <br />Status n�nzo�� Time �o:oz _ Original WO __ _ _____ _ Billing__ _ _ _ _ <br />Customer Infortnation <br />Custome� Name ROCHONE, aoeiN <br />Address :st♦ <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 426 1 P67•9693 <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem In(ormatfon <br />Address 3911 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street Hic►i sT <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street HIGN ST <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By CBA CLEMANS, BRUCE A. <br />Agency <br />Initiated From Pueuc ausuc <br />Utility Locate (USA) No <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To CSG <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Map Book <br />Called Date <br />CAVANAH, SHANE G. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Change Map YIN <br />IYap Reference <br />Expiration Date <br />Date Requested �nnzo�t <br />Related Request ootoot�u <br />Priority Estimated Hours <br />Actfon Taken CONTRACTOR PACK JOINT. INSTAILED COPPER TUBE NUT AND INSTA TIGHT. <br />Recommended Action <br />Approved By BGM2 BEUKERS, GEORGE M. <br />Stait Date � � Time <br />Completed By <br />Job Cost Infortnation(Y/N) <br />Date Completed �is�2o�t ._ ._ __ Permit No __ <br />Time FollowUp? _-- --------- <br />