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Work Activity Work Order Pa9e 1 <br /> 9;i2/2013 13:24 <br /> ISSUed By SJT2 SPOONER,JAMES T. <br /> Issued Departmentvw PUBLICWORKS <br /> Date Issued e�ssizo�a <br /> Fund eot Account 5 Program Function Activity <br /> Program UT7477 a a <br /> Title CONVFRT 75 INCH 2428 CEDAR ST UTJ47]3-7 <br /> Work Order No ?0132236 PfOJECf Activity Type CORRECTIVE MAINTENANCE S�a1U5 CL <br /> StaWs 8�2G/2013 TIfiIE 1555 Original WO Billing _ _ _ _ ___._ <br /> Customer Information <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 � 1 - Ext <br /> -- _-------- ----- <br /> E-Mail Address <br /> Problem Information <br /> Address 2428 Street CEDAR ST <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem W'ATER WATER <br /> Sub Problem �THER OTHER <br /> Requested E3y Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignmenl Iniormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To �� ` <br /> Assigned Date To Be Comp Date ___ r�0�`II � <br /> Scheduled Date Scheduled Time <br /> � ��.1� <br /> Route Route Sequence <br /> Comments <br /> Action Taken ------- <br />