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Work Activity Work Order <br />ISSUCd By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued vrnzoo9 <br />Fund aot /�ccounl s Program 7to Punclion >>y <br />Progran, <br />Ti�IC REPAIR 625 W[TMORE AV[ 710119673 <br />Work Order No 20090186 Projecl /lclivity Typc S[RVICE RHOU[5T <br />Slalus 2/78/2009 Time orzs Original WO Billing <br />n�i���iy e„ <br />S1�1U5 PR <br />Customer Information <br />Customer Name EFo Cuslomer id <br />Address Strcet <br />Apariment No City <br />S�ale Z�P <br />Subdivision Change Map Y/N <br />Phone No ( 1 - [xt <br />Second Phone ( 1 - Ext <br />E-Mail Address <br />Problem Information <br />Ac'dress gyg Sircel �,yETMORE AVE <br />From Cross Street <br />To Cross Street <br />Cily ZiP <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Reques�ed By SJT SK�GEN, JEFFREY T. DelO RCqUC5l0d 2117R009 <br />�gency Related Requcst aaonac� <br />Initiated From Put3uc PUDLIC <br />Utility Locale (USA) No Called Dale Expiration Date <br />Assignment Information <br />Dept Pw PUBUC WORKS Priorily Eslimated Hours <br />Crew <br />CoNractor <br />AS519f1Cd TO NSO NIELSEN. SCOTI' O. <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Dale Scheduled Time <br />Route Route Sequence <br />Comments /� <br />Action Taken INSTALLED WRAP A ROUND ON BEAM LOAD UNDER DRIVEWAY. /O/� (/�' U/�i�� �'s reth.r4 � J/y <br />Recommended Action <br />Approved By Job Cost Informalion(Y/N) <br />S�art Dale i � Time Date Completed j � ��i 6 y Pennd No <br />Compleled By SL � Time Follow Up? <br />