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Issued By csc <br />Issued Departmentaw <br />Date Issued snorzoia <br />Fund aoi <br />Program <br />Work Activity Work Order <br />,:AVANAH, SHANE G. <br />PUBLIC N'ORKS <br />Page � <br />�/ze/z01•; it-ie <br />Account s Program �io Function i�y Actiwiy e�s <br />T111B REPAIR 751NCH G108 OLYI.IPIC DR 710719675 <br />Work Order No 20141473 Project Aciiwty Type SERVICE REOUEST <br />Status 5rioi2o�n Time is ao Onginal WO Billing __ <br />Customcr Information <br />Customer Name HAIG, DAVID <br />Address eaoa Street o�vr.�aic oH <br />Apartment No C��y <br />State Z�P <br />Subdivision <br />Phone No � azs 1 ztz-saze Ext <br />Second Phane � ) • Ext <br />E-Mail Address scottishhaigcagmail.com <br />Problem Information <br />Address gqpg Street OLYMPIC DR <br />From Cross Street <br />7o Cross Street <br />Ciry <br />Subdrv�sion Map Boo <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requesled By ccm caeE. cnno r,� <br />Agency <br />Initialed From PUBLIC PUBLIC <br />Uldity Loca�e (USA) No Called Date <br />Assignment Intormation <br />Dept Pw PU�LIC WOFKS <br />Crew <br />Contraclor <br />Assigned To cs� cAvnN�n. s�iaNe c <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Oate Scheduled Time <br />Route Roule Sequence <br />Comments <br />Action Taken REPLACED POLY FROM MAIN TO NEW SETTER AND BO%. <br />Recommended Action <br />Approved By MWE MOORE, WARR[N E <br />Start Date i � Time <br />Completed By <br />Customer ld <br />Change �dap Y/N <br />Slatus CL <br />Zip <br />k Map Reference <br />Date Requested 6�91201a <br />Rela�ed Request oo73to7E <br />Expiration Date <br />Pr�or�ty Est�mated Hours <br />Job Cost In(ormahon(YIN) <br />Date Completed en�noia <br />Time Follow Up7 <br />Permit Ne <br />