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Work Activity INork Order pagF - <br /> —. . __ _. .___. .. . _ __— _.. __ <br /> 2/25/2030 :J:GS <br /> ISSUed By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentNw PUBLICWORKS <br /> Date Issued utizo�o <br /> Fund aot Account 5 Program �to Function »9 Activiry 6�5 <br /> Program <br /> TIfIC REPHIR.751NCH56108ROADWAY770719675 <br /> VUoric Order No 20100257 Project Activity Type SERVICE REOUEST Status c� <br /> Status 2izrzoio Time ta:ns Original WO Biliing ___ _ _ <br /> Customer information <br /> Customer Name GRUPPS,nnaoN Customer ld <br /> Address Street <br /> Apartment No ��tY <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( a25 ) e7s�coae Ext <br /> Second Phone ( ) • Ext — <br /> E-Mail Address <br /> Probiem I�formatfon <br /> Address 5G10 Street BROADWAY <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision M�p Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By Hsrt HOfFMAN,STEVEN R. D0t8 RBQUBStBd vz5no�o <br /> Agency Related Request 000ssss� <br /> initiated From aueuc PueuC <br /> Utility Locate (USN) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> ASSignCd TO SJT2 SPOONER,JAMES T. <br /> Assigned By <br /> Assigned Date ___ To Be Comp Date <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comrt�ents <br /> Action Taken METER 80X FOR SG10 BROADWAY WAS IN N.B.LANE OF COMMERCIAL AVE.SERVICE WAS <br /> LEAKING.MOVED 80X TO SIDE OF ROAD.PUT IN.75 INf.N SE7TER'NITH JUMP=R AND BO�C. . <br /> Recommended Action <br /> Approved By SUG SMITH,DAVID G. Job COSt InfOrtTleti0fl(Y/N) <br /> Start Dale I � Time Date Completed vvzo�o Permit No _ <br /> Completed By Time Follow Up? <br /> �Ii/ <br /> Y <br />