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Page 1 I <br /> Work Activity Work Order Z/6/20i3 �o:4a <br /> ISSUBdBy HW HUSBY,LANCEJ. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ������012 Account s Program �to Function �t9 F,ctiviry e�s <br /> Fund �o� � <br /> Program <br /> TItlB REPAIR.751NCH 5020 ALKI DR 770119875 <br /> WOfk Ofd@f NO 20122563 PfOJBC� Activity Type CORRECTIVE MAINTENANCE St81US CL <br /> Status <br /> �v�5rzot2 Time tz:se Origine�WO Billin <br /> Customer Informatlon Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> Stata Z�P <br /> Subdivision Change Map YIN <br /> Phone No l ) • Ext _ <br /> Second Phone l ) - Ext <br /> E-Mail Address <br /> Problem In(ortnation Street ALKI DR <br /> Address 5010 <br /> From Cross Street <br /> To Cross Street ZiP <br /> ��� Map Book Map Reference <br /> Subdivision <br /> Qroblem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Anency <br /> Initiated From Called Date Expiration Date <br /> Utility Locate(USA) No <br /> Asalgnmont Information Priority Estimated Hours <br /> Gept , <br /> Crew <br /> Cantractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date __— - <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Commenta INVENTORY MATERIAL IN THE AMOUNT���OURNALIZED <br /> IN 201Y <br /> qCt1011 T8kBf1 CURB BOX IS LOW AND IN ASPHALT DRIVEWAY.WILL REPLACE.761NCH CURBSTOP WITM <br /> .76 INCH SETTER WIJUMPER AND BOX. <br /> Recommended Actlon <br /> Job Cost Information(YIN) <br /> Approved By woL w�+vEa,oEnN�. Date Completed tusa2atz Permit No <br /> Start Da:e i � Time <br />