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Page � <br /> Work Activity Work Order _ _ 17,5„0�,_3_,� <br /> ISSU2d BY MLJ HUSBY,LANCE J. <br /> PUBLIC WORKS <br /> Issued DepartmentPw Ac,liviry c�a <br /> Date Issued �onsno�s Progrim �to Function �ig <br /> Fund ao� Account 5 <br /> Program Status c� <br /> TiUO REPNR 61NCH 3201 SHORE AVE 7101196 SERVICE REOUEST <br /> Pro ect Activity T�'Pe <br /> Work Order No 20152304 I Billing_ _ - --- -' -- <br /> StaWs �oi�eizois_ Time o� �o _ O�i�inal WO __-�-- <br /> Customcr Iniarmation Cus,omer ld <br /> Customer Name CITIZEN,ED g�reet <br /> Address City <br /> hpariment No ZiP <br /> State Change Map Y/N <br /> Subdivisron _____ — <br /> Phone No ( ass 1 74J-2796 Exl ---- <br /> Ext <br /> Second Phone � � ' _ ____ — - <br /> E-Mad Address <br /> Probleminformation Street SHOREAVE <br /> Address 3207 <br /> From Cr__oss S«ee� <br /> To Cro�s S��?e� Z'P <br /> Ciry Map Book Map Reference <br /> Subdrvision <br /> Problem WA7ER WATER <br /> Sub Problem LEAK LEAK Dale Requested 7017612015 <br /> GRAVES,G�RY W Related Requesl 00146795 <br /> Requested By ��w <br /> Agency pTHER OTHER <br /> Initiated From Called Date Expiratio:i Date <br /> Utilily locate(USA) No `Si,mated Hours <br /> Assignment Informalion pnonry <br /> Dept PW PUBL�C WORKS <br /> Crew <br /> Contraelor �{��i�v i nnct e <br /> Assigned To HLJ <br /> Assigned By To Be Comp Dale _ _ _ <br /> Assigned Date .-- Scheduied Time ____- .- <br /> Scheduled Date _—- Route Sequence <br /> Route <br /> Comments <br /> Action Taken BEAM LOAD ON 61NCN CAST IRON,P'JT ON A STAINLESS STEEL REPAIR BAND. <br /> Recommended Action Job Cos� Intormation(Y/N) <br /> gIC.LEY,RYAN P ---P fe fillt NO ___ <br /> qpprovedBy eaP __.- Time DateCompleted �onsno�s_____ <br /> Start Date !_.� - — Time _ Follow Up� _— <br /> Completed By__ —-- --- <br /> � <br />