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Work Activity Work Order <br />Page 1 <br />9/22/2016 11:03 <br />ISSU2d BY RJP RAPELYEA, JASON P. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 2/24/2016 <br />Fund ao� Account 5 Program ��o Function 119 Activity s�s <br />Program <br />Title REPAIR .75 INCH 1617 EDGEMOOR LN 710119675 <br />Work Order No 20160613 PfOJ@Ct Activity Type CORRECTIVE MAINTENANCE StatUS CL <br />StBtUS 2/24/2016 TI1712 13:52 Oriqinal WO 6111111q <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 1617 Street EDGEMOOR LN <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <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 .75 INCH SERVICE LINE WITH 200 PSI POLY CONVERTED CURB STOP TO SETTER <br />WITH JUMPER AND BOX. <br />Recommended Action <br />Approved By FBL FISHER, BOBBY L. <br />Start Date i i Time <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed 2�2�i2o�s Permit No <br />Time Follow Up? <br />