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Work Activity Work Order <br />Pare 1 <br />3/22/2011 1P:27 <br />Issued By WDL WEAVER, DEAN L. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued 314I2011 <br />Fund qot Account 6 Program �to Function i�9 Activity 876 <br />Program <br />TIlIB REPAIR .75 INCH 5630 BEVERLY LANE <br />Work Order No 20110399 PfOJBC1 Activity Type CORRECTIVE MAINTENANCE Sf81US CL. <br />Status aiar2oit Time to:5s Original WU 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 ( 1 • Ext <br />E-Mail Address <br />Problem Informatfon <br />Address 5b30 Street AEVERLYLN <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book <br />Problem WATER WATER <br />:,ub Problem LEAK LEAK <br />Requested By <br />Agency <br />Initiated From <br />Map Reference <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />DeP� Priority <br />Crew <br />Contractor <br />As:igned To <br />Assigned Ey <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken pIN HOLE LEAK ON .75 INCH SETTFR. PUT IN NEW .75 INCH BY 12" SETTER. <br />Recommended Action <br />Approved By HLJ HUSBY, LANCE J. <br />Start Date � i Time <br />Completed By <br />Date Requested <br />Related Request <br />Estimated Hours <br />Job Costln(ormation(Y/N) <br />Date Completed 3�e�zott Permit No <br />Time Follow Up? <br />