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Work Activity Work Order <br />- -- --- <br />ISSU@d By CSG � CAVANAH, SHANE G. <br />Issued Department aw PUBLIC WORKS <br />Date Issued z�2s�m�a <br />Fund ao� Account s Program ��o Function »9 <br />Program <br />TitlB REPAIR .S INCH 3002 16TH �T?10119675 <br />Work Order No 20130489 P;oject <br />Status 2�25�2o�s Time 15:43 Original WO <br />���� - <br />; _:;_.:, _:_� <br />ACiiVl1y 675 <br />Activity Type SERVICE REn_UEST Status c� <br />Billing _--- _ _ <br />Customer Information <br />Cus?omer Name MONTGOMERY, NAT Customer ld <br />Addr=ss aooz Street �sTH sr <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( 2as ? 547-8347 Ext <br />Second Fhone ( 1 - �xt <br />E-Mail Address <br />Problem Information <br />Address 3002 Street �6TH ST <br />From Cross Street <br />To Cross Street <br />City Z�p <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By HSR HOFFr�i�aN, sTevEv R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept Pw PUBLIC �VORKS PflOfl�y <br />Cf2W <br />Contractor <br />Assigned To CSG CAVANAH, SHANE G. <br />P,ssigned By <br />Assigned Date __.... To Be Comp Date <br />Scheduled Date __.__ Scheduled Time __ <br />Route Route Sequence <br />Comments <br />Action Taken REPAIRED SERVICE AND INSTALLED SETTER WITH JUMPER. <br />Recommended Action <br />Approved By DDL DRASZT, DAVID L. <br />Start Date � � <br />Coinpleted By <br />Time _ <br />Change Map Y/N <br />Map Reference <br />Date Reques?2d 2122/2073 <br />Relat2d Request oo���za2 <br />Expiration Date <br />Estimated Hours <br />Job Cost Information(Y/N', <br />Date Completed �isizo�s _ <br />Time Follow Up? <br />Permit No <br />_. _ ._--- __._ s <br />