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Work Activity Work Order <br />ISSU2d By CSG CAVANAH,5HANE G. <br />Issued Department pw PUBLIC WORKS <br />Date Issued 6I30/2010 <br />Fund qot Account s Program »p Function i7e <br />Program <br />Title AEPAIR 1 INCH 7001 HIGHLAND DR 710119G75 <br />Work Order No 20101690 Project Activity Type SERVICE REOUEST <br />Status siaoi2oio Time ta:n2 Original WO Billing <br />Cuslomer Information <br />Customer Namc JENSEN, STEPHANIE <br />Address iooi <br />Apartment No <br />State <br />Subdivision <br />Phone No ( azs 1 soi-zs92 <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Customer ld <br />Sl(B2t HIGHLAND DR <br />City <br />Zip <br />Ext <br />Ext <br />Address 7003 Street HIGHLAND DR <br />From Cross Siree� <br />To Cross SVeet <br />Cily <br />Subdivision <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Re ues�ed By HSR HOFFMAN, STEVEN R. <br />9 <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No <br />Assignment Intormation <br />Dep� <br />Crew <br />Contractor <br />Assigned To csc <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Zip <br />Map Book <br />Called Da�e <br />Priorily <br />CAVANAH, SHANE G. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken �EAK ON 1" POLY LINE. CUT OUT AND PUT IN NEW POLY. <br />Recommended Action <br />Change Map Y/N <br />Map Reference <br />Expiration Date <br />Pa9e 1 <br />7!?Oi�G10 13:39 <br />Activity 67s <br />Status c� <br />Date Requesled snsnoio <br />Related Request 000e9a2t <br />Estimated Hours <br />Approved By WDL WEAVER, DEAN L. JOb COSI If1fO��T18�i0f1(Y/N) <br />Start Date i / Time Date Completed �Ivzo�o <br />Completed By Time Follow Up? <br />Permit No <br />