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C� <br /> Wark Rctmvity Work Order <br /> ISSUCd BY CSG CAVANAH,SHANE G. <br /> Issued Deparlment rw PUOLIC WOftKS <br /> Date Issued vannae <br /> Fund qo� Account 5 Program �to Function >>� Ar.livity 6�5 <br /> Program <br /> TiIIC REPAIR 1309 39TH 5T 710!19G75 <br /> Work Order No 20090144 Pro;ect Adivity Type SGRVICF REOursr Siatus c� <br /> Slalus 2iar2oo�� �inx: ur:�a Original WO B(Iliny <br /> Customer Information <br /> Customer Name BARBERG,MR Cuslorner ld <br /> Address sso� Streel Hicn sr <br /> Aparlment No City <br /> State Zip sozoi <br /> Subdivision Chcmge r�1ap 1^N <br /> Phone No 1 ) - 6xt <br /> Second Phone ! 1 - Fxt <br /> E-Mail Address <br /> Problem Informa[ion <br /> Address 1309 Strect 39TH ST <br /> From Cross SUeel <br /> To Cross Slreet <br /> CIIY ll�) 9�201 <br /> Subdivision Map Book htap Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requesled By MBR MOSS,[3RIAN R. DOIC RC4UPSl0d 2/212009 <br /> Agency Rclated Request ooamei <br /> Inifialed From PUBLIC PUOLIC <br /> Utility Locate {USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Pw rU[�uC WortKs Prioriry Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To csc cnvnNnH,sii.�r��: i; <br /> Assigned By <br /> Assigned Date vznoog To Be Comp Date <br /> Schaduled Date Scheduled Time <br /> Route Route Sequencc <br /> Comments <br /> Action Taken REPLACEO PACK JOINT AT MAIN. <br /> Recommended Action <br /> Approved Dy Ku KE�so, rrioraas� Job Cost In(ormafion(Y�N) <br /> Start Date � i Time Date Completed vgnppg Permit No <br /> Completed E3y Time Follow Up? <br />