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Work Activity Work Order ` "" ' <br /> IsSU�d By TDEi THOMPSON,DWAYNE E. <br /> Issued Deparimenl Pw PUBUC WORKS <br /> Date Issued v2erzoo9 <br /> Fund ao� Accounl s Prograin ��o Funclion ttg �ctivity 6�5 <br /> Program <br /> TiIIC R[PAIR AAOA TERRACE DR 710119G75 <br /> WOfk OfdCE NO 2��9�2�5 PfOjCCi 00000108 Ac�ivity Type SERVICE REOUEST Sl2�US PR <br /> Slalus zizc�zoo� Time oa:oz Original WO Billing <br /> Customer Information <br /> Customer Name KRUSZEWSKI,JOHN Cus�omer ld <br /> Address aaoa SIfCCi TERRACE DR <br /> Apartment No City <br /> Slate Zip <br /> Subdivisiun Change Map YiN <br /> Phone No 1 a2s 1 25e�ocea [xl <br /> Second Phone 1 1 • Exl <br /> E-Mail Address <br /> Problem Information <br /> �ddress 4404 Slreet TERRACE DR <br /> From Cross Streel <br /> To Cross Slreet <br /> Cily Lp <br /> Subdivision At,ip f3ooti Map Rr.ference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By MBtt �.u�ss. iaiei%�u i� Dale Ritques�ed 2�Snoo9 <br /> fZCI�lICd Requcsl 00077667 <br /> Agency <br /> Inilialed From PUBLIC PUBLIC <br /> Ulilily Locale(USA)No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Pw r>uut.ic woiehs Prioriry Estimaled Hours <br /> Crew <br /> Conirac�or <br /> Assigned To ro[i ti+on�rsoN.u�vnvrie e. <br /> Assigned Dy <br /> Assigned Dale To 13e Comp Datc <br /> Scheduled Date Scheduled Time <br /> Roule Rou�e Sequcnce <br /> Comments <br /> Action Taken FOUND CONNECTION ON MAIN AND RAN TEMP SERVICE LINE SINCE EXISTING COUL�N'i BE <br /> FOUND. <br /> Recommended Aclion <br /> Approved By Job Cost Information(Y/N) <br /> Start Date i / Time Date Compleled 3 �S i G� Permil No <br /> Completed BY� (i <br /> Time Follow Up? <br /> � IC 3- 3'"O°f �Q.n,e,.� �cX S�J �: c'� <br /> �/ , V <br /> ��-�,, ��� <br />