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Issued By csc <br />Issued Department Pw <br />Date Issued si3nai2 <br />Fund 4ot <br />P ram <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Page 1 <br />s�zs�zoiz iz:is <br />Account s Program »a Function ��e Activiry s�s <br />rog <br />Title REPAIR .75 INCH 5321 VJETMORE AVE 710119675 <br />Work Order No 20120636 Project Activiry Type SERVICE RE�UEST <br />Status s�s�zoiz Time u:�e Original WO _ Billing ___ <br />Customer Information <br />Customer Name Pse <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No � � - <br />Second Phone � � - <br />E-Mail Address <br />Problem Information <br />Address 5321 <br />From Cross Street <br />To Cross Slreet <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street yyETMORE AVE <br />Map Book <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By HSR HOFFMAN, STEVEN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To TDE'I <br />Assigned By <br />Assigned Date _ ___ _ <br />Scheduled Date _. _ _ <br />Route <br />Comments <br />Called Date <br />THOMPSON,DWAYNEE. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Actfon Taken REPAIRED POLY WITH NON INVENTORY PARTS. <br />Recommended Action <br />Approved 8y HLJ HUSBY, LANCE J. <br />Start Date � i__ Time __ <br />Completed By __ _- __— --- -- <br />Custamer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />SfefUS CL <br />Date Requested 51312012 <br />Related Request ootoeest <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Informa[ion(YIN) __ <br />Date Completed s�3na�z Permit No <br />Time Follow Up? __ _ <br />