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Work Activity Work Order Pa9e 1 <br /> s/��/zoia ii:si <br /> ISSl1Bd BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued v�aizo�a <br /> Fund aot Account s Program �to Function �ts Activity s�s <br /> Program <br /> Titl@ REPAIR.75 INCH 2219 COLUMBIA AVE 770119675 <br /> Work Order No 20140206 PfOjBCt Activity Type CORRECTIVE MAINTENANCE StB�US CL <br /> Status �nsi2o�a Tim� i5:ze Original W0 ____Billing ___ _. ___ <br /> Customer Infonnatfon <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 ( ) - Ext <br /> E-Mail Address _____—_— _- _—_------- <br /> Problem Information <br /> Address yy�g Street COLUMBIAAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Refere�ice <br /> Problem WATER WATER <br /> Sub Problem OTHER C�THER <br /> Requested By Date Requested <br /> Agency Related Request <br /> initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date _ _ _ <br /> Scheduled Date ____ Scheduled Time _ _ <br /> Route Route Sequence <br /> Comments <br /> ACflOtt TekCll ,751NCH CURBSTOP IS ON IT'S SIDE.WILL PUT IN.751NCH SETTER WITH JUMPER,BOX <br /> AND LOCK OFF AS REQUESTED BY METER SHOP.FOUND.75INCH GALW ON CITY SIDE. � <br /> WILL REPLACE WITH.751NCH POLY AT SAME TIME. <br /> Recommended Action <br /> Approved By pe� FisHeR,eoeav�. Job Cost Information(YIN) <br /> Start Date � � Time Date Compieted v�ana�a Permit No <br />