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Page 1 <br /> Work Activity Work Order 9/21/2013 e:o� <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 61121201� Activi s�s <br /> Fund aot Account s Program �to Function »e ty <br /> Prc�ram <br /> Title REPAIR.75 1NCH 1015 CROWN DR 770119675 <br /> V�%�I;Order No 201312A5 PfOJBCt Activity Type CORRECTIVE MAINTENANCE Sf2tU5 CL <br /> Status 6/12I2013 Time �52z Original W0 _ _ __ __.,_ __ Billing ___ ___ _ __—__ ____ <br /> Customer In(nrmation Customer id <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No l ) - Ext _____-__ _ <br /> Second Phone ( ) - Ext <br /> E-Mail Address --- — <br /> Problem Information <br /> Address 1015 Street CROWN DR <br /> From Cross Street <br /> To Cross Street <br /> City Z�P , <br /> Subdivision Map Book M�p Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utiliry Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimated Hours <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 REPLACE.751NCH CURBSTOP WITH.751NCH SETTER,JUMPER AND BO%.OWNER IS <br /> REPLACING HIS SIDE. <br /> Recommended Action <br /> Approved By wo� �+vER,��n,N�. Job Cost Information(YIN) <br /> Time Date Completed 6113@013 Permit No _ <br /> Start Date i � --- <br /> -- - - - <br /> Completed By Time Foilow Up? <br />