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Work Activity Work Order <br />ISSUed By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 12/2/2015 <br />Fund ao� Account 5 Program ��o Function 119 <br />Program <br />Title REPAIR .5 INCH 3326 ROCKEFELLER AVE 710119675 <br />Page 1 <br />7/18/2016 13:30 <br />_ _ _. <br />Activity s�5 <br />Work Order No 20152603 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Status 12/2/2015 Time o6:55 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 3326 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER <br />Sub Problem OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street ROCKEFELLER AVE <br />WATER <br />OTHER <br />Map Book <br />Called Date <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Assigned Date ______ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments INVEN70RY MATERIAL IN THE AMOUNT OF $261.17 WAS JOURNALIZED <br />IN 2015 � <br />ACtion Taken .5 INCH CURBSTOP HARD TO OPERATE, REPLACED WITH .75 INCH SETTER WITH JUMPER AND <br />BOX. <br />Recommended Action <br />Approved By EAL ERICKSON, ANDREW L. <br />Start Date � � Time <br />Job Cost Information(Y/N) <br />Date Completed �2i2i2o�s Permit No <br />