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Work Activity Work Order Page � <br /> .z/�e/�o:s ;:;s <br /> (SSL'ed By CSG CAVANAN,SNANE G. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 9/2912015 <br /> Fund aoi Accounts Program ��o FuncUon >>9 Activity a�s <br /> Program <br /> TitlQ REPAIR 751NCH 2606 h7APLE 5T 770119675 <br /> Work Order No 20152137 Project Activity Type SERVICE REOUEST Status c� <br /> Status 929/2C�5 Time t5 aa Original W0 Billing _ _______ <br /> Customer Information <br /> Customer Name GEORGE Customer ld <br /> AddfQ55 2606 �ffC'Et MAPLE ST <br /> Apartment No C�ty <br /> State Z�P <br /> Subaiv�sion Change Map Y/N <br /> Phone No ( 2oe ) 76e�ao�a Exl <br /> Second Phone ( > • Ext - -- " ----- ---- <br /> F-Mad Address <br /> - --- ------ - <br /> Problem Information <br /> Address 2606 Street MAPLE ST <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdriision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By MCL1 MALLAND, CHAD L Date Requested 912912Qi5 <br /> Agency Related Request ooiasssz <br /> Indiated From Pusuc PUBLIC <br /> Utihty Locate (USA) No Called Date Expir�tion Date <br /> Assignment Information <br /> Depl �'w �ueuCwoaKs Prioriry EslimatedHours <br /> Crew <br /> Contractor <br /> Assigned To �'✓TE W[SNANG. TERRY E <br /> Assigned By <br /> Assigned Date To Be Comp Date _ _ _ <br /> Scheduled Date Scheduled Time __ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED LEAKING .75"SWIVEL SITTING AT CORP. <br /> Recommended Action <br /> ApPfOved By RJP R4PELYEA,JASON P. JOb COSt IflfOff110fI0f1(Y/N) <br /> Start Date i i Time Date Comple�ed 912912015 Permit No ___ <br /> -- - - --- -- <br /> Com leted B Time ___ Follow Up. <br /> P Y.------- -- ------ — <br />