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?aae '- <br /> V11ork Activity Work Order ,,,.;,`_, ,z:.., <br /> ISSUed By <br /> � CSG CAVANAH,SHANE G. <br /> Issued De�artment aw PUBLIC WORKS <br /> Date Issued snonois Account 5 Program �ia Function »9 Activity 575 <br /> Fund ao� <br /> Program <br /> TIflO REPAIR .i 51NCH 1416 MAPLE ST 7107196i 5 <br /> Work Order No 20130933 Project Activity Type SERVICE REo��31 Status c� <br /> Status s ionoia Time io:zs Original WO _ __ Billing_ _ _ _ __— --- <br /> Customer Information Customer ld <br /> Customer Name BUNNEY,IORI <br /> Address iato Street Maa�e sT <br /> ,�partment No Cit; <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( azs ) zaz-saai Ext -----__---------- <br /> Second Phone ( ) - Ext <br /> E-Mail Address - -- - --- - - <br /> Problem Information <br /> Address 1416 Street h�qpLEST <br /> From Cross Street <br /> To Cross Street Z.P <br /> City Ma Book Map Reference <br /> Subdivision P <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK Oate Requested snoizot� <br /> Request�d By SJl SKAGEN,JEFFREY T. <br /> Related Request oo»ea�s <br /> Agency <br /> Initiated From PU3LIC PUBLIC Called 'uate Expiration Date <br /> Utif.ry Locate (USA) IJo <br /> Assignment Information priori Estimated Hours <br /> Dept PW PUBLIC WORKS ry <br /> C rew <br /> Contractor <br /> Assigned To CSG CAVP�AH,SHANE G. <br /> Assigned By To Be Comp Date <br /> Assigned Date _ _____ <br /> Scheduled Date _ Scheduled Time <br /> Route Route Saquence <br /> Comments <br /> Action Taken REPAIRED SERVICE ANO RESOTRED. <br /> Recommended Action <br /> ApPfOvO[' '`/ RBN ROBERTS. BRIAN N. JOb COSf IflfOffTlBtion(Yl��) <br /> -- Time _ __ _ __ Date Completed 5@112013 Permit No <br /> Start D. � � - _ — — — — <br /> Completed By Time Follow Up? _ _ _____ <br />