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Work Activity Work rJrder Pa3` 1 <br />s�i9�zoiz is:z2 <br />-- - — — --- __----- -- - -- <br />ISSU2(1 BY S.1T2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 3 11 912 0 1 2 <br />Fund qo� Account s Program �to Function i�y Activity 6�s <br />Program <br />TItlO REPAIR .75 1NCH 501 LEGION DR 710119675 <br />Work Order No 20�2�4�6 Project Activity Type CORRECTIVE MAINTENANCE $i8t115 CL <br />Status an�izoiz Time is:ta Original WO _ _ Billing_ __ <br />Cusromer Information <br />Customer Name Customer ld <br />Addres� Street <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No � 1 - Ext <br />Second Phone ( � - Ext <br />E-Mail Address <br />Problem Information <br />Address gp� Street �,EGION DR <br />From Cros� Street <br />To Cross Street <br />City Z�P <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />R:quested By Uate Requested <br />hgency Related Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Date <br />�ssignment 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 Route Sequence <br />Comments <br />Action Taken R� PLACE .75 INCH CURBSTOP WITH .75 INCH SETTER, JUPAPER AND BOX. PROPERTY IS <br />pART OF SMELTER CLEAN U�. <br />Recommended Action <br />Approved By HLJ HUSBY, LhNCE J <br />StaR Date � � Time <br />('nmpleted By _ — - <br />Job Cost Ir�formation(Y/N) <br />Da[a Completed 3n9�zoiz_ ___ Permit No <br />Time Follow Up? <br />