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Work Activity Work Order <br />Issued By CSG CAVANAH, SHANE G. <br />Issued Department PW PUBLIC WORKS <br />Date Issued 112812014 <br />Fund 401 Account 5 Program 710 Function 119 <br />Program <br />Title REPAIR .751NCH 7510 72ND ST SE 710119675 <br />Work Order No 20140351 Project Activity Type SERVICE REQUEST <br />Status 1/2812014 Time 14:15 Original WO Billing <br />Customer Information <br />Customer Name BAXTER, CYNTHIA <br />Address 7115 <br />Apartment No <br />State <br />Subdivision <br />Phone No 1 425) 365.9716 <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address 1510 <br />From Cross Street <br />To Cross S're-el <br />City <br />Subdivision <br />Street BEVERLY BLVD <br />City <br />Zip <br />Ext <br />Ext <br />Street 72NDSTSE <br />Map Book <br />Problem <br />WATER <br />WATER <br />Sub Problem <br />LEAK <br />LEAK <br />Requested By <br />DRA <br />DURRANT, ROGER A <br />Agency <br />Initiated From <br />PUBLIC <br />PUBLIC <br />Utility Locate (USA) No <br />Called Date <br />sslgnment Information <br />Dept Pw <br />PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To <br />CSG <br />CAVANAH, SHANE G. <br />Assigned By <br />Assigned Date <br />To Be Comp Date <br />Scheduled Date <br />Scheduled Time <br />Route <br />Route Sequence <br />Comments <br />Action Taken INSTALL NEW 314" POLY, SETTER AND BOX <br />Recommended Action <br />Customer Id <br />Zip <br />Change Map Y/N <br />Map Reference <br />Expiration Date <br />Page 1 <br />5/17/2014 12t37 <br />Activity 675 <br />Status cL <br />Date Requested 1128/2014 <br />Related Request 00127247 <br />Priority Estimated Hours <br />Approved By WDL WEAVER, DEAN L. Job Cost Information(Y/N) <br />Start Date 1 1 Time Date Completed 2/412014 Permit No <br />Completed By Time Follow Up? <br />