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Work Activity Work Order <br />ISSl1Cd By SJT2 SPOONER, JAMES T. <br />Issued Departmenl Pw PUBLIC WORKS <br />D�le Issued 9/3012009 <br />Fund aoi Account s Program >>o Function >>y Activiry e�s <br />Program <br />Tlll� REPNR .5 INCN 9308 [VERGRE[N Wl�Y 7101190?5 <br />Work Order No 20092853 i�fO�CCI Aclivily Type CURRECTIVE'MAINTENANCE Sf21US PR <br />Status si3o�aoos Time iz:3s Original WO 000e2�o_ Billing <br />Customer Information <br />Cuslomer Name <br />Address Slreel <br />Apartment No Cily <br />Slale Zip <br />Subdivision <br />Phone No ( 1 - Ext <br />Second Phone ( 1 - Exl <br />E-Mail Address <br />Problem Information <br />Address 9308 Street EVERGREEN WAY <br />From Cross Streel <br />To Cross Streel <br />City <br />Subdivision Map Sook <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By <br />Agency <br />Initialed From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contraclor <br />�ssigned To <br />Assigned [3y <br />Assigned Datc To Be Comp Dale <br />Scheduled Date Scheduled Time <br />Route Roule Sequencc <br />Comments <br />ActionTaken REPA�RED1l2"SERVICEWITH3/4"PARTS. <br />Recommended Action <br />Approved Ciy <br />Start Date I I <br />Compleled By <br />Cuslomer ld <br />Cliange Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Reialed Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Cosl Inforrnation(Y/N) <br />Time Date Completed i i Permit No <br />Time Follow Up? <br />/� <br />