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Page 1 <br /> Work Activity Work Order 9�21/2013 ��,5� <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued DepaRmentaw PUBLICWGRKS <br /> Date issued siza�zoi3 Account s Program �to Function t�9 Activity 5�5 <br /> Fund ao� <br /> Program <br /> Title REPAIR.75 INCH 6314 BLUFF PL 710119675 <br /> 20132374 PfOjeCt Activi[y Type CORRECTIVE MAINTENANCE St8tU5 CL <br /> Work Order No Billin ---- <br /> s�zaizo�s Time �a:s� Original WO _ _____ _ _ _9----- -- <br /> Status _ ____ _ _ -- <br /> Customer Information Customer ld <br /> Customer Name Street <br /> Address <br /> Apartment No City <br /> State Z�P Change Map Y/N <br /> Subdivision Ext <br /> Phone No � � ' -- —-- <br /> Second Phone l ) - Ext <br /> E-Mail Address ----— <br /> Problem Information Street BLUFF PL <br /> Address 6314 <br /> From Cross Street <br /> To Cross Street Z�P <br /> Ciry Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Called Date Expiration Date <br /> Utility Locate (USA) No <br /> Assignment Informatio� Priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date __ _ _ ----- <br /> Scheduled Date _ _ Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken AND NOT HOOKED UP TO CUS OMER SIDE.CUSTOMER SIUEES C+ALVANIZEDTTER IS OFF <br /> Recommended Action <br /> Job Costlnformation(Y/N1 _ <br /> Approved By DOL DRASZT,DAVID L. Dr3te COfllpl2f2d 812812013 PBffTllt NO _ <br /> __ _ <br /> Start Date � i Time _ _ _ ____ <br /> Completed By <br /> Time Foliow Up? <br />