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Issued By csc <br />Issued Department Pw <br />Date Issued 612312014 <br />Fund ao� <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. ` <br />PU9LIC WORKS <br />Account s Program >>o Function i�9 <br />TItlO REPNR J5 a62B HARBOR LN 710119575 <br />Work Order No 20141820 Project Activiry Type SERVICE RE�UEST <br />Status erzaizo�a Time te2s OriginalWO Biuing <br />Customer Information <br />Cuslomer Name DAVIS, BEVERLY Customer ld <br />AddfeSS q626 Stf2Bt HARBOR LN <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( azs ) 3es-s9as Ext <br />Second Phone ( ) • Ext - <br />E-Mail Address <br />Problem Information <br />Address 4628 Street yqRBOR LN <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book ivlap Reference <br />Problem WATER WATER <br />Sub Problem LEAK LEA,K <br />,,, _._ , <br />9/:F./��!4 ?-:`-; <br />Activiry 6�5 <br />Status c� <br />Requested By s�T siwceN. �erFkev r Date Requested s�zzrzo�a <br />Agency Related Request ooi��so� <br />Initiated From PUBLIC PU3GC <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />�ept Pw PUBLIC WORKS Prionry Estimated Hours <br />Crew <br />Contractor <br />Assigned To SJT2 SPOONER, JAWES T. <br />Assigned By <br />Assigned Date __ _ To Be Comp Dale <br />Scheduled Date Schedul?d Time <br />Route Route Sequence <br />Comments <br />Action Taken FOUND SHUT OFF AND CCt�VERTED TO SETTER WITH JUhiPER AND PLASTIC �nOLDED BOX. <br />Recommended Action <br />Approved By RJP RAPELYEA,Jl�S01JP. <br />Start Date � i ^ Time <br />Completed By <br />Job Cost In(ormation(Y!N) <br />Dale Completed 612512014 Permrt No <br />Time Follow Up? <br />