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�J;� I�:�����'�:b��� <br />Work Activity Work Order <br />?dcn I <br />12/1B/20'_`_ 9'.11 <br />ISSUed BY CSG CAVANAH,SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued enono�s <br />Fund ao� Accounts Program �ia Function >>y AcLviry 675 <br />Program <br />T111Q REPAIR 751NC.1 1417 20TH ST 710119675 <br />Work Order No 20151882 Project Activ�ty Type SERVIC[ R[QUEST Status c� <br />Stalus ai2o�2ois Tirne �633 Original WO Billing_ _ <br />Customer Information <br />Customer Name BLAKE, ARLENE CUStOm2f Id <br />Address �y3� Street r+.ovT ave <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No l azs 1 244•6374 Ext <br />oewiw rn�ne � � • �u <br />E-Mail Address <br />Problem Information <br />-- _ . __ _ _ _ _ — -- <br />Address i931 Street HOYTAVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />SubdWision Map Book Map Reference <br />Problem WArER WATER <br />Sub Problem LEAK LEAK <br />Requested By MCL1 1dAlLAND CHAD l Date Requ2sled 812012015 <br />Agency Retated Request oo�aa2so <br />Irntia,ed From PUBLIC PUULIC <br />Ut�hry Locate (USA) No Called Date Expira6on Date <br />Assignment Information <br />Dept PW PUBLIC WORKS Priority EsUmated Hours <br />Crew <br />Contraclor <br />Assiqned To CSG CAVANAH. SHANE G <br />Ass�gned By <br />Ass�gned Date ___ ___ To Be Comp Date _____ <br />Scheduled Date Scheduled Time <br />Route Roule Sequence <br />Comments <br />Action Taken FOUND HOLE ON .75 POLY NEAR CORP REPLACEO J' C1F POLY WITH 200 PSI POLY FROM <br />CORP WITH INSTATITE UNION. <br />Recommended Action <br />Approved By RJP RAPELYEA. JASON!> .;ob Cost In�ormation(Y/N) <br />Start Date � i Time Date Completed s�zo�tot5 Permit No <br />_ _-- -- — -- -- — <br />Completed By Time Follow Up7 <br />