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Work Activity Work Order <br />ISSUBd By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 912 3120 7 3 <br />Fund ao� Accounts Program 7io Function >>y <br />Program <br />Title REPAIR .75INCH 2520 WALNUT ST 7701196i 5 <br />Work Order No Z0133078 Project Activity Type SERVICE REOUEST <br />Status 9123/2073 Time is:o� OriginalWO Billing ___ <br />Customer Information <br />Customer Name ROWE, MIKE Customer ld <br />Address zs�a Street wn�Nur si <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Page 1 <br />10/30/2013 15:43 <br />Activity e�s <br />Phone No ( aoa ) 386-4240 Ext <br />Second Phone ( 1 - Ext — <br />E-Mail Address <br />- - --- ---.._.. <br />Problem Information <br />Address YSzp Street �.yALNUT ST <br />From Cross Street <br />To Cross Slreet <br />City Z�P <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By CCM CABE, CHAD M. <br />Agency <br />Initiated From rueuc PU6LIC <br />Utilit� Locate (USA) No Called Date Expiration Date <br />Assignment Informatlon <br />Status c� <br />Date Requested 91231207� <br />Related Request oo�za�ea <br />Dept P�'�' PUBLIC WORKS Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To �E WESNANG, 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 LEAI( IS ON .751NCH POLY NEAR 12 STEEL MAIN. PUT IN 1 FEET .i S INCH POLY AND <br />.751NCHINSTA UNION. <br />Recommended Action <br />AppfOVBd By HLJ HUSBY, LANCE J. <br />Start Date � � Time <br />Completed By <br />Job Cost Information(Y!N) <br />Date Completed s�2a�2o�3 _ Permit No <br />Time Follow Up? <br />