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Page 1 <br /> Work Activity Work Order e�zs/�oiz is:ia <br /> Issued By SJT2 SP ES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 61512012 Account 5 Program �to Function »s Activity e;5 <br /> Fund <o� <br /> Program <br /> Title REPAIR.75 1NCH 1007 GROWN DR 710 7 7 9675 <br /> Activity Type SERVICE REQUEST StOtUS CL <br /> bVork Order No 20120738 Project Billin <br /> Status e�s�zo�z Time io:m Original WO _ 9 - — <br /> Customer Information Custemer ld <br /> Customer Name BINNEY,KEITH Street cRowri oR <br /> Address t0°� City <br /> Apartment No <br /> State Z�p <br /> Change Map YIN <br /> Subdivision <br /> Phone No � Zo6 � 498 �Z�9 Ext <br /> Second Phone � � - <br /> E-Mail Address — <br /> Problem Information Street <br /> Address 1007 CROWN DR <br /> From Cross Street <br /> To Cross Street Z�P <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested 61012072 <br /> Requested By HSR HOFFMAN,STEVEN R. <br /> Related Request aotossos <br /> Agency <br /> Initiated From PUBLIC PUBLIC Called Date Expiration Date <br /> Utility Locate (USA) No <br /> Assignment Information Priority Estimated Hours <br /> Dept PW PUBLIC WORKS <br /> Crew <br /> Contractor <br /> Assigned To CSG CAVANAH,SHANE G. <br /> Assigned By To Be Comp Date <br /> Assigned Date - <br /> Scheduied Date __ Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE.75 INCH CURBSTOP WITH NEW.75 INCH SETTER,JUMPER AND BOX. <br /> Recommended Action <br /> Job Costlnformation(YIN) <br /> Approved By H�J HUSBY,LANCE J. T�me Date Completed 61512012 Permit No <br /> Start Date � � -- Follow Up? <br /> Completed By_ _ Time __ <br />