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Work Activity Work Order <br />ISSU�d 6y CSG CAVANAH, SHANE G. <br />Issued Depar�menl Pw PUBLIC WORKS <br />Da�c Issued znnzoos <br />Fund qot Accounl s Program �to Function �te <br />Program <br />TIIIC ���'AIR ti25 WETA10R6 AVE 71011967J <br />Work Order No 20090186 Project Activiry Type seavice aeouesr <br />Stalus 2iior2oo� Time oz2� Original WO Billing <br />Customer Information <br />Customer Name EFD Customer ld <br />Address Slreel <br />Apartment No City <br />Stale Zip <br />Subdivision Change Map Y/N <br />Phone No ( � - Exl <br />Second Phone l �- Exl <br />E-Mail Address <br />Problem Information <br />Address syg Streel yyETMORE AVE <br />From Cross Street <br />To Cross Slreet <br />City Zip <br />Subdivision A4ap Book Map Reference <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />� <br />, ,; <br />Activi�y 6n <br />Slatus c� <br />RCqUCSICd (3Y SJT SKAGEN, JEFFREY T. D2le ReqllCSfCd 2I1712009 <br />Agency Related Requesl aoonac� <br />Initialed From PUBLIC �u[�uc <br />Utiliry Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Pw PUBUC WORKS Priority Eslimated Hours <br />Crew <br />Conlractor <br />ASSIJf7Cd TO NSO NIELSEN, SCOTT O. <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Dale Scheduled Time <br />Route Roule Sequence <br />Comments <br />Action Taken INSTALLED WRAP A ROUND ON 6EAM LOAD UNDER URIVEWAY. DRIVEWAY RESTORED. <br />Recommended Aclion <br />A�Jp�OVCd By CSG CAVANAH, SHANE G. <br />Start Dale � � Time <br />Completed By <br />Job Cosl In(onnation(Y/N) <br />Date Completed arenooe Permit No <br />Time Follow Up? <br />