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Work Activity Work Order Page 1 <br /> s�zs�zoiz ii:s� <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued anvzotz <br /> Fund aot Accounts Program ��o Function i�y Activity 675 <br /> Program <br /> Tille REPAIR.751NCH 5825 BROADWAY 710119675 <br /> Work Order No 20120552 Project Activity Type CORRECTIVE MAINTENANCE $f8tU5 CL <br /> Status anvzoiz Time �z:ae Original WO Billing _ ____ _ <br /> Customer Informatfon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( l • Ext --- <br /> E-Mail Address <br /> Problem Informatfon <br /> Address 5825 Street gROADWAY ' <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER 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 /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <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 REPLACE.75 INCN CURBSTOP WITH.751NCH SETTER,JUMPER AND BOX.LEAK ON CUSTOMER <br /> SIDE,PLUMBER ON SITE. <br /> Recommended Actton <br /> Approved By soc sMiTH,oAvi�G. Job Cost Information(Y/N) <br /> Start Date � � Time Date Compieted an��zotz Permit No <br /> Completed By Time Follow Up7 <br />