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Work Activity Work Order �a9e 1 <br /> e;e/zoii io:�i <br /> ISSUBd By SJTY SPOONER,JAMES T. <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 7ne�zott <br /> Fund eot Account s Program »o Function �te Activity 876 <br /> Program <br /> TIIIQ REPAIR.75 INCH 3415 BELL AVE 710119675 <br /> WOfk Ofd2f NO 2�����6� PfOJBC� Activity Type CORRECTIVE MAINTENANCE SI8fU5 CL <br /> StaWs �iteizo�t Time iz2a Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ezt <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Informatlon <br /> Address 3415 Street BELL AVE <br /> From Cioss Street <br /> To Cross Slreet <br /> City -- Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WAT[R WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Asefgnment Informatlon <br /> Dept Prioriry Estimated Hours <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 REMOVED.75 INCH POLY JUMPER AT MAIN AND PUT IN J'.76 INCN COPPER. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J JOb COS� Ifl(OfR18110f1(Y/N) <br /> Start Date � � Time Date Completed msnot� _ Permit No <br /> Completed By Time Follow Up7 <br />