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_3�c : <br /> Work Activity Work Order , ,,,,,_, ,.,, <br /> - - - <br /> - - - -- - - <br /> - -- <br /> ISSUEd By SJT2 SPOONER,JAMES T. <br /> Issued Departmentrw PUBIICWORKS <br /> Date Issued m�izots Account s Program »o Function t�a Activity 675 <br /> Fund eo7 <br /> Program <br /> TItIB REPAIR.75 1NCH 1525 COLBY AVE 710719675 <br /> WOfk OfdOf NO 20131457 Project Activiry Type CORRECTIVE MAINTENANCE $tatUS CL <br /> Status �imzots Time ts c� Original VJ0 B�Iling _ - --- <br /> Customer Information Customer ld <br /> Cusromer Name <br /> Address Street <br /> Apartment No City <br /> Zip <br /> State Change Map Y?N <br /> Subdivision <br /> Phone No ( ) • Ext _ _ — -- --- — - - <br /> Second Phone ( 1 • Ext <br /> E-Mail Address - <br /> Problem Intormation <br /> Address 1525 Street CpLBYAVE <br /> From Cross Street <br /> To Cross Street Z�P <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utiliry Locate (USA) No Called Date P <br /> Assignment Information <br /> Dept Pricrity Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned Tc <br /> Assigned 6y To Be Comp Date <br /> Assigned Date _ ___ - <br /> Scheduled Date __. Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE.75 INLH CURBSTOP WITH.751NCH SETTER.JUMPER AND BOX.CUR85tOP BROKE <br /> WHILE BBA2 WAS DOING SHUTAFF. <br /> Recommended Actlon <br /> Approved By wo� wEnVER,o�J+N�. Job Cost Information(Y/N) <br /> Time Date Completed 7nnzais _ ___ Permit No <br /> Start Date i � -- — <br /> Completed By l'ime Follow Up? <br />