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� <br /> Work Activity Work Order r��� ' <br /> i�ier�no ��: t � <br /> IsSUed By GTJ GALLAGHER,TNOMAS J. <br /> Issued Department rw PUBLIC WORKS <br /> Dale Issued tonanoo� <br /> Fund aot Account s Program »o Funclion »y Activity ws <br /> Program <br /> Title REPAIR 1501 OAKES f•VE 710119673 <br /> Work Order No 20070976 Project Aclivily Type SERVICE REQUEST Status c� <br /> Date �o�zai2oo� Time os:o� Original WO Billing <br /> Customer Information <br /> Customer Name VEURINK,DON Customer ld <br /> Address Sireet <br /> Aparlment No Ciry <br /> Stale Zip 98201 <br /> Subdivision Change Map Y/N <br /> Phone No l 4z5 1 75a-oz�o Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �gp� Streel OAKES AVE <br /> From Cross Streel <br /> To Cross Sireel 15TH ST <br /> City Zip eezat <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Probiem LEAK LEAK <br /> Requested By HSR HOFFMAN.STEVEN R. DeIB ReGU8Sl8d 10129I2007 <br /> Agency Relaled Request 00066as� <br /> Initialed From PUBUC ru[�uc <br /> Ulility Locate (USA) No Called Dale Expiration Dale <br /> Assignment Information <br /> C)ept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To GTJ GALIAGHER,THOMAS J. <br /> Assigned By <br /> Assigned Date toiz�noo7 To Be Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Aclion Taken INSTALLED 6"RAP AROUND <br /> Completed By GTJ GALLAGHER,TNOMAS J. AppfOVCd By <br /> Start Date i � Time Date Completed �oi2�noa� Time <br /> Job Cost Informalion(Y/N) Follow Up7 Permit No <br /> Problem Details <br /> SEE SR 66459. CON7RACTOR HIT WA TER MAIN WH/LE PIPE <br />