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Work Activity Work Order �i" ' <br /> 9i�oi.�o.; ,:: ,3 <br /> Issued By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBUC WORKS <br /> Date Issued 7H612074 <br /> Fund aot Accounl s Program �to Function »o Acliwty 6�1 <br /> Program <br /> TIIIE REPAIR 51NCH 4973 VESPER DR 710119673 <br /> Work Order No 20142414 Proje.t Ac;iviry Type ;ERVIC[REOUEST Stat�.:: a. <br /> Status �r�c��ai- T�me �5:3 Onginal V:'0 f3ilhn� <br /> Customer Information <br /> Customer Name �oRce, �eo Guston��r ld <br /> Address 49i3 S(2BIVCSPERDR <br /> Apartment No City <br /> Stale Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( a25 I �sosta7 Exl <br /> Second Phone ( ) • Ext — � — <br /> E-Mail Address <br /> _ _ . _ _ <br /> Problem Information <br /> Address 4973 Street VESPER DR <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> S�bdivision Map Book IJlap Reference <br /> Problem WATER lNATER <br /> Sub Problem LEAK LEAK <br /> Requested By ccn� cAoe,ctino M. Date Requested meno�a <br /> Agency Related Requesl 0013.167 <br /> Ifliliatvd FfOm PUBLIC PUBLIC <br /> Utihry Locate (USA) No Cailed Dale Expfration Date <br /> Assignment Iniorma[ion <br /> Dept Prionty Estimated Hc�.irs <br /> Crew <br /> Contractor <br /> ASSi9f12d TO CSG CAVANAH.SHANE G <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CUT OUT BELL CRACK.INSTALLED 2'DI PIPE WITH HYG1AX COUP. <br /> Recommended Aclion <br /> Approved By MWE MOOR[,WARREN E. JOb COSI I�(Off1181i00(Y/N) <br /> Start Dale � i Time Date C�mpleled ��zvzo�4 Permit No <br /> Completed 6y _ __ _ T�rre Foilo�v Up7 <br />