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Work Activity Work Order Pa9e 1 <br /> 12/28/2011 16:11 <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> issued Department rw PUBLIC WORKS <br /> Date Issued tmza�zott <br /> Fund aot Accou�t s Program »o Function tts Activity 673 <br /> Program <br /> TIIIB REPAIR 61NCH 7802 EVERETT AVE 710119673 <br /> Work Order No 20112440 Project Activiry Type SERVICE REQUEST Status c� <br /> Status �o�zaizo�i Time ie:aa_OriginalWO_ Biiling <br /> Customer Information <br /> Customer Name YMCA,JOEL ANDERSON Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( a2s ) 297J282 Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address _ <br /> Problem Information <br /> Address 180P Street EVERETTAVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Prablem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By HSR HOFFMAN,STEVEN R. Det2 REqUeSled 10124I2011 <br /> Agency Related Request oo�ozeoo <br /> Initiated From Pue�ic PUBLIC <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To SJT2 SPOONER,JAMES T. <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date _____ Scheduled Time ____ <br /> Route Route Sequence <br /> Camments <br /> Action Taken BELL CRACK ON 6 INCH C.I.MAIN.CUT OUT BELL AND PUT IN TWO 61NCH HY-MAX <br /> COUPLINGS AND 7 FEET 61NCH D.I.PIPE. <br /> Recommended Action <br /> Approved By Hw HUSBY,tANCe�. Job Cost Informa!ion(YIN) _ <br /> Start Date i � Time _ Date Completed �v�mza�i__ __ Permit No <br /> Complel�d By Time Follow Up? <br /> ��2 <br />