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k� � L'�i� C �IryG�.�.� <br /> Work Activity Work Order "aG` - <br /> ,��.;�a^is �:c._ <br /> ISSU@d By CSG CAVANAH,SHANE C'i. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �nz�aois <br /> Fund aot Actounts Proyra.n >>o FuncUon >>y Actiwry c75 <br /> Program <br /> Title KILL 75 1NCH a229 THOh1:,ON AVE 710n9675 <br /> Work Order No 20150411 ProJect Activiry Type SERViCE REOUEST Status c� <br /> Status zn2izo�s Time �szs OnginalWO Bilhrg _ <br /> Customcr Information <br /> Customer Name EL�IOT Customer ld <br /> Address q22g $IfOBt THOMSON AVE <br /> Apartment No Ciry <br /> State Z'P <br /> Subdrvision Change Map YIN <br /> Phone No i a25 i aaaai9z Ext _ <br /> Second Phone � 1 - Ext <br /> E-Mad Address <br /> Problem Information <br /> Address qyyg Sireel THOMSONAVE <br /> From Cross Street <br /> To Cwss Street <br /> Cdy Zip <br /> Subd�vision Map Book Map Relerence <br /> Problem WATER WATER <br /> Sub Problerr LEAK LEAK <br /> Requestec' 3y MCL7 tdALLAND.CHAD L Related Request oo��7exa5 <br /> Agency <br /> Inihated From PUBLIC t�uouc <br /> Uhhry Locate (USA) No Called Dale [xpiraUon Date <br /> Assignment Information <br /> Dept �'W ruBucwoaKs Pnonty Esl�matedliours <br /> Crew <br /> Contrador <br /> ASSi9�Cd TO N�E WESNANG.TERRY[ <br /> Assigned F3y <br /> Assigned Date _ To 8e Comp Dale <br /> �s� � <br /> Scheduled Time � + � <br /> Scheduled Date ---- �` � 3y`�, <br /> Route Route Sequence ��� �#;. <br /> Camments <br /> Action Taken KILLED SERVICE AT MAIN. <br /> Recommended Action <br /> Approved By Mwe ti100RE,W/1RREN E Job Cost Information(Y/N) <br /> Start Date i � Time Date Completed v2ono�s __ Permit No_ ___ <br /> --- --— – — <br /> Completed By Time Fallow Up� ___ <br />