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Work A�:tivity Work Order PeQe 1 <br /> iz��izo.o ii:zs <br /> ISSU@d By WDL WEAVER,OEAN L. <br /> Issued DepaAment vw PUBIIC WORKS <br /> Datelssued �v�n2o�o <br /> Fund eo� Account 6 Progrem �to Function »y Activity 676 <br /> Program <br /> TIiIP. REPAIR 1 INCH 904 E CASINO RD 710119675 <br /> WOfk OfdBf NO 2��OZ684 PfOJOCf Activity Type CORRECTIVE MNINTENANCE S►BlUS CL <br /> Status tv��izo�o Time u �a Original WO Bil�ing <br /> Cuatomer 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 1 - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Iniormatlon <br /> Address gpq Street E CASINO RD <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Prohlem LEAK LEAK <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility locate(USA) No Called Dale Expiration Date <br /> Assignment Informatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrector <br /> Assigned T� <br /> Assigned By <br /> Assigned Dale To Eie Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken 7 INCH CURBSTOP LEAKING PUT IN NEW 1 INCH SETTER WIJUMPER AND BOX. <br /> Recommended Actlon <br /> Approved By soc SMITH, DAVID G Job Cost Information(Y/N) <br /> Start Date i � Time Date Completed tv�mo�o Permit No <br /> --- - - <br /> Completed By Time Follow Up? _ <br /> y3 <br />