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Work Acti�ity Work Qrder �,,;,,�:« ;�:;�_ <br /> ISSUBd BY SJT2 SPOONER,JA�dES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued aizvzo�a Account 5 Program �to Functnn tie Activlty s�s <br /> Fund ao� <br /> Program <br /> Title REPAIR.751NCH7426HOYTAVE710119675 <br /> Work Order No Z��4097$ P�OJBC1 ACIiVIty Typ2 CORRECTIVE MAINTENANCE S181U5 CL <br /> � Billin. <br /> Status a%zvzo�a Time �e:3t Origmal WO _____ _ _ _ -3-- ------ — <br /> Customer Informalion Customer ld <br /> Customer Name <br /> Atldress Street <br /> Apartment No City <br /> State Z�P Change Map YIN <br /> Subdivision <br /> Phone No ( ) • Ext _ ____. _ __ <br /> Secood Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1426 Street HOYT AVE <br /> From Cross Street <br /> To Cross Street <br /> L'I� <br /> Ciry Niap Book Map Reference <br /> Sabdivision <br /> �rotlem WATER WATER <br /> Sub Prcblem OTHER OTHER Dale Requested <br /> Requested By Related Request <br /> P.gency <br /> Initiated From Ex iration Date <br /> Utiliry Locate(USA1 No Called Date P <br /> Assignment Informaticn Priority Estimated Hours <br /> Dept <br /> Cr�:e, <br /> Contr.acror <br /> Assi�nad To <br /> Assigned By To Be Comp Dai�� <br /> Assigned Date <br /> Scheduled Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE.751NCIi CURBSTOP WITH.751NCH SETTER,JUMPER AND BOX. <br /> Recommended Action <br /> Job Cost Infc�rmation(YIN) _ <br /> Approved ey WDL vdEAVER,DEAN L. PBffTtll NJ <br /> — Time Date Completed c�zvzoia _ ___ <br /> Start Date � � _ Time Follow Up? <br /> Con�plet�d �}' <br /> � <br />