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'Work Activity Work Order <br />Page 1 <br />e�is�zoii is:zo <br />ISSU2d By SJT2 SPOONER, JAMES T. <br />Issued Departmeit rw PUBLIC WORKS <br />Date Issued enizo�� <br />Fund 4oi Account 5 Program �to Function »9 ActiviN 67b <br />Program <br />Tlil@ REPIACE 75 1NCH 6704 BERK5IRE DR 770115 j75 <br />WOfk OfdEf NO ZOi'I'I4BE PfOfBC1 Activity Type CORRECTIVE MAINTENANCE Sf8fU5 CL <br />Status eivzoii Time �5 ie Original WO Billing <br />Customer Inlormation <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No � > <br />Second Phone l 1 <br />E-Mail Address <br />Problem Iniormation <br />Address 6704 <br />From Cross Slree! <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initialed From <br />Uulity Locate (USA) No <br />Assignment Iniormation <br />Depf <br />Grew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Dale <br />Route <br />Commenta <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street BERKSHIRE DR <br />Map Book <br />Called Date <br />To Ce Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />F riority Estimaled Hours <br />Action Taken REPLACED .751NCH SERVICE FROM MAIN TO 510 AND PUT IN .7: INCH SETTER WI JUMPER <br />AND BOX. <br />Recommended Action <br />Approved E3/ soc sMirt� onwo G Job Cost Information(Y/N) <br />St2rt Date i � Time Date Cempleted ennott Permit No <br />Completed By Time Follow Up7 <br />