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Work Activity Work Order "�'" ' <br />;;'�;�ci5 i1:ia <br />ISSUed By WOL WEAVER, DEAN L. <br />Issued Departmentaw PUBLICWORKS <br />Date Issued erzono�s <br />Fund ao� Account 5 Program »o Funchon >>y Activiry e�s <br />Program <br />Title REPAIR 75 INCH 1808 DULL PL 7101 i 9675 <br />Work Order No 2a151881 Pf0J2C� Activity Type CORRECTIVE �dAINTENANCE $121U5 CL <br />StaWs erzorzoi5 Time �555 Originai WO _ Bdhng <br />Customer Information <br />Customer Name Customer ld <br />Address Streel <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No l ) - Ext <br />Second Phone l 1• Ext <br />E-Mail Address _ <br />Problem Intormation <br />Address �808 Street DULL PL <br />From Cross Street <br />To Cross Street <br />City Z'P <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Indiated From <br />Utility Locate (USA) No Called Dale Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To <br />As�igned By ° , . . <br />Assigned Date _ _ To Be Comp �ate � ��� '^ „ s' j ;; �: ; � ; <br />Scheduled Date Scheduled Tn„e G <br />Route Roule Sequence <br />Comments <br />Action Taken REPLACE .751NCH CURBSTOP WITH .751NCH 5[1?ER JUMPER AND BO% WHIIE REPAIRING <br />NEIGHBORS SERVICE. <br />Recommended Action <br />Approved By wD� w[nvert, oe�N � Job Cosl Information(Y/N) <br />Start Dale � i Time __ Date Completed enano�s_ Permd No _ <br />Compieted By Time Follow U�� <br />