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Work Activity Work Order <br />Fage 1 <br />7/28/2011 10:50 <br />ISSU@d By SJT2 SPOONER,JAMES T. <br />Issued Departmentrw PUBLICWORKS <br />Date Issued ��enott <br />Fund qo� Accounts Program �to Function ��s Activity 675 <br />Program <br />Titie REPAIR .751NCH 2430 LARLIN DR 770179675 <br />WOfk OfdBf NO 20111008 PfOJBC[ Activity Type CORRECTIVE MAWTENANCE Sl2lU5 CL <br />St2fU5 7l8/2011 TIOI@ 06:35 Oflt�ifiBl WO_ ___ Bllllflj ____ _ <br />Customer Information <br />Custoiner Name Customer ld <br />Address Slreet <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) • Cxt <br />E-Mail Address <br />Problem Information <br />Address P430 Slreet LARLINDR <br />From Cross Street <br />To Cross Street <br />City Z�P <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Change Map YIN <br />Map Reference <br />Date Requested <br />Related Request <br />Utility 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 />Scheduted Date _ Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPLACE .751NCH CUR6STOP WITH NElY.751NCH SETTER AtJCI BOX. <br />Recommended Action <br />Approved By soc SMiTH, onvio c. Job Cost Information(YIN) <br />Start Date � /___ Time __ Date Completed �m2ot�__ __ <br />Completed t�y Time Follow l. 7 <br />— -- — - �� -- <br />Permit No <br />