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Work Activity Work Order <br />- -- — — — - — <br />ISSU2d By SJT2 SPOONER, JAMES T. <br />Issued Department rw PUBLIC WORKS <br />Dale Issued 4I1412010 - <br />Fund ao� Accounts Program ��o Function ��y <br />Program <br />TiIIC REPAIR ]5 WCH 8824 JTH PL SE 770119675 <br />Work Order No 20'101191 Project Aclivity Type SERVICE RE�UEST <br />StaWs ana�zo+o Time �a:zz Original WO Billing <br />Customer Information <br />Cuslomer Naroe KENNETH, MARTIN Cl151Ort12f Id <br />AddfCSS 8824 $lf�8l 4TH PL SE <br />Apartment IJo Cily <br />Slale Z�p <br />Subdivision Change Map Y/N <br />Phone No ( 4z5 ) 244•2992 Ext <br />Second Phone ( 1 - Ext — <br />E-Mail Address <br />Problem Information <br />Address 8824 SUeet 4TH PL SE <br />From Cross SUeel <br />To Cross Sheel <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />a��� � <br />aizsiz�.o ��:z: <br />Activity a�s <br />Status c� <br />Requesled By Mert r,�oss, uainN a. Date Requested aisna�o <br />Agency Related Requesl 000e7sao <br />Initiated From PUDLIC PUOLIC <br />Ulility Locale (USA) No Called Date Expiralion Date <br />Assignment Informalion <br />Dept PW PUBLIC WORKS Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To SJB SOULIER, JOHNNY [3. <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Ro�le Roule Sequence <br />Comments <br />Action Taken LEAK ON .751NCH SERVICE NEAR CURB STOP. PUT IN NEW .75 SETTER WITH JUMPER AND <br />BOX AND FIXE7 L:AK. <br />Recommended Action <br />Approved By SDG SMITH, DAVID G. JOJ COSi If1f0�fT18GOf1(Y/N) <br />Slart Date � � Time Dale Completed anvzota Permit No <br />Completed By Time Follow Up? <br />y� <br />