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Work Activity Work Order <br />ISSll2d By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued toizeizot� <br />Fund ao7 Account s Progrerr, ��o Funclion »s <br />Program <br />TItIB REPAIR .75 1NCH 6526 LARIMER RD 710179675 <br />VVork Order No Z0112463 Project Activity Type SERVICE RE�UEST <br />Status ionei2o�i Time os:ai Original WO Billing <br />Customer Information <br />Customer Name VANDOREN, ANDY <br />Address 6526 <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( a25 ) aoaa2tz <br />Second Phone ( � - <br />E-P�lail Address <br />Problem Information <br />Address 6526 <br />From Cross Streel <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Problem SO/TO SHUT OFF OR TURN ON <br />Requesled By HSR HOFfMAN, STEVEN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No <br />Assignment Iniormation <br />Dept Ph' PUOLIC WORKS <br />Crew <br />Ccniractor <br />Assigned To SJT2 <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Slfeet LARIMER RD <br />City <br />Zip <br />Ext <br />Ext <br />Street �ARIMER RU <br />Map Book <br />Called Date <br />SPOONER,JhMEST. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Change Map Y!N <br />Map Re(erence <br />Expiration Date <br />Page 1 <br />li/16/2011 8:59 <br />ACtIVIfY 675 <br />St2f115 CL <br />Date Requested �onano�� <br />Related Request ootozsze <br />Priority Estimated Hours <br />Action Taken REPLACE .75 INCH CURBSTOP WITH .751NCH SETTER, JUMPER AND BOX. <br />Recommended Action <br />Appraved By HLJ HUSBY, LANCE J JUb COSI If1�OffT18IlOf1(Y/NJ <br />Start Date � � Time Date Completed tomno�� <br />Completed By Time Follaw Up? <br />Permit No <br />