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Work Activity Work Order <br />Page 1 <br />9/14/2016 8:59 <br />ISSU2d By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1/8/2016 <br />Fund ao� Account s Program ��o Function 119 Activity s�5 <br />Program <br />Title REPAIR .75 INCH 8908 7TH AVE 710119675 <br />Work Order No 20160164 Project Activity Type CORRECTIVE MAINTENANCE St2tUS CL <br />Status �isizo�s Time �a:az Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext — <br />E-Mail Address <br />Problem Information <br />Address ggpg Street 7TH AVE W <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Map Reference <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority <br />C rew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPLACED BROKEN .75 INCH SETTER. MEASUREMENTS ARE ON GO-SYNC. <br />Recommended Action <br />Approved By WDL WEAVER, DEAN L. <br />Start Date i i Time <br />Completed By <br />Date Completed <br />Time <br />Date Requested <br />Related Request <br />Estimated Hours <br />Job Cost Information(Y/N) <br />1/9/2016 <br />Follow Up? <br />Permit No <br />