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' <br /> Work Activity Work Order pa9e ' <br /> �z�zo�zoia is:i� <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Dale Issued �onsizo�a <br /> Fund ao� Accounl s Program »o Function �i9 Activity fi�s <br /> Program <br /> Title CONVERT]5 INCH 26D4 JACKSON AVE 710115675 <br /> Work Order No 2��43�2� Pf0)2C� Activiry Type CORRECTNE MAWTENANCE Si2IU5 CL <br /> StaWs ior�5noia Timeo9.is OriginalWO _ eilling ___ <br /> Customer Information <br /> � Customer Name Customer ld <br /> Address Street <br /> Aparlment No C�ty <br /> Stale Z�P <br /> Subdivisicn Change Map Y/N <br /> Phone No ( 1 - Exl <br /> Second Phone ( 1 • Ext — <br /> E-Mail Acidress <br /> Problem Information <br /> A�idress 2604 Street JACKSONAVE <br /> From Cross Street <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Prob!em OTHER OTHER <br /> Reques!ed By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Ulility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken REPLACE.75 INCH CURBSTOP WITH.75 INCH SETTER,MET[R AND BOX <br /> Recomrnended Action <br /> Approved By wo� W�+vER,o�nN �. Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed �onsizo�a __ Permit No <br /> CompletedBy _ Time ___ FollowUp? ____ __ <br />