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z <br /> Work Activity Work Order <br /> i55UE:d Dy SJT2 SPOONER,JAMES T. <br /> Issucd Department Pw PUBLIC WORKS <br /> Date Issued �oi�noo9 <br /> Fund qn� Account 5 Program 7�o Function ttg Aclivity a�s <br /> Program <br /> TdIC REPLACE 751NCH 6209 COMMERCIAL AVE 710119675 <br /> work Order No 20092681 Project Activiry l"ype SERVICE RGOUEST Siaws c� <br /> Slatus tonr2oot� Time te2a Ongmal WO E3illing <br /> Customer Information <br /> Customer Name RANCOURT,ROGER Customer id <br /> Address 6209 SIfCCI COMME� �IAL AVE <br /> Aparlment No Cily <br /> Slale Z�P <br /> Subdivision Chan.�e Map Y/N <br /> Phone Na l 425 1 2�oa�3� Ext <br /> Second Phone 1 1 - Ex! <br /> [-Mail Address <br /> Problem Information <br /> Address sypg Street COMMERCIAL AVE <br /> From Cross Streel <br /> To Cross Slreet <br /> Cily Z�P <br /> Subdivision Map Book R4a,, Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By HSR HOFFMAN,STEVEN f2. DBIB RequCSted 912 812 0 0 9 <br /> Agency Related Request 000s2see <br /> Initiated From PUBLIC t�ueuC <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assiynment Information <br /> Depl PW PuoucwoaKs Prioriry Eslimated Hours <br /> Crew <br /> Contraclor <br /> ASSigt7Cd TO SJT2 SPOONER,JAMES T. <br /> Assigned By <br /> Assigned Date To Be Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken JUMPER WAS .751NCH GALV.REPLAC[D JUMPER WI.751NCH POLY.PUT IN.75 INCH <br /> SETTER WIJUMPER AND BOX. <br /> Recommended Action <br /> Approved By soG SMirH,onvio c. Job Cost Information(YlN) <br /> Slart Date � � Time Date Completed tomzao9 Permit No <br /> Completad fiy Time Follow Up? <br />