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Work Activity Work Order pa9e 1 <br /> 3/IB/2010 13:40 <br /> ISSUed By CSG � CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ti��noto <br /> Fund qot Account s Program �io Function tte Activity s�s <br /> Program �P�= <br /> TItIB REPA�R.75 1NCH 4440 RIGDGMONT 710119675 <br /> Work Order No 20100476 Project Activity Type SERVICE REQUEST Status CL <br /> Status vzvzoto Time to:ao Original WO __ _ __Billing __ _ __ _ <br /> Customer Information <br /> Customer Name NAVERTON KIM Customer ld <br /> Address 4428 SlfEBI RIDGEMONT DR <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( azs ) 2593615 Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 4440 Street RIDGEMONT DR <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requesled By cM�z ces�nK,M�arv�. Date Requested zlztlzoto <br /> Agency Retated Request 000aeas� <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept rw PUBL�C WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To MKC MOORE,KIM C. <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 CONTRACTOR PACKJOINT AND ASPHALTED <br /> Recommended Action <br /> Approved By BGM2 BEUKERS,GEORGE A7. JOb COSt I�fOfrtlati0�(Y/N) <br /> Start Date � I Time Date Completed ti2sl2oto Permit No <br /> Completed By _ _ _ Time _ Follow Up? <br /> 1� <br />