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Work Activity Work Order p�g� 1 <br /> oizai�o�5 �� :�o <br /> ISSU2d BY CSG CAVANAH,SHANE G. � <br /> Issued Departmentaw PUBUCWORKS <br /> Date Issued anznou <br /> Fund eo� Account s Program »a Function >>y Activity s�s <br /> Program <br /> TIUC REPAIR JS INCH 7!20 OLYMPIC DR 710119675 <br /> Work Order No 20150761 Project Activiry Type SERVICE REOUFST Status a <br /> Status 3/222015 1'ime oa:a� Or�ginal WO Billing ___ <br /> Customer Information <br /> Customer Name GEFELLER,CINDV Customer ld <br /> Addf255 7120 S��2@l OLYMPIC DR <br /> Apartment No City <br /> State ZiP <br /> Subdivision Changc Map Y/N <br /> Phone No t 2ae 1 aea•ze�s Ext <br /> Second Phone ( 1 - Ext - " — <br /> E-Mail Address <br /> Problem Information <br /> Address 7�yp Stree; OLYMPICDR <br /> From Cross Street <br /> To Cross Street <br /> Ciry Zip <br /> Subdivision Map Book Map Reference <br /> Prablem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By cen c�cMnNs, eauce n Date Requested anz�2ois <br /> Agency Relaled Request 001J9416 <br /> Initiated From Pueuc PU�LIC <br /> Ufi6ty Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Pw PUBLIC WORHS Prionty Estimated Hours <br /> rrew <br /> Contraclor <br /> Assigned To �sP ANDfR50N, SII�N P <br /> Assigned By <br /> Assigned Date _ _ __ _ To Be Comp Date <br /> Scheduled Date Scheduled Time _ <br /> Route Roule Sequence <br /> Commcnts <br /> Action Taken REPAIREO SERVIC[. <br /> Recommended Action <br /> Approved By HLJ HUSF7Y, I ANCE J � �Oh COSI IlllOffTl2llOf1(Y/N) <br /> StaR Date � � Time Date Completed ��vzots _ Permd No _ _ <br /> Compleled By _ _ Time Follow Up? <br />