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Work Activity Work Order Page 1 <br />3/21/2012 9:36 <br />ISSUOd By � SJT2 SPOONER, JAMES T. <br />Issued Departmer�t PW PUBLIC WORKS <br />Date Issued 2isreot2 <br />Fund ao� Accounts Program »o Function ��9 Activit� 675 <br />Program <br />TI118 REPAIR 75 INCH 511 LEGION DR 710119675 <br />WOfk Ofd@� NO 20120306 PfOJeCt ACtlVl1y Typ2 CORRECTIVE MAINTENANCE StetUS CL <br />S�BtUS 2/6/2012 TIfT10 O8�_58 _ ��191f181UV�_ ____ Bllllfl9_ _______ _ _____ _ _ __ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartmeni No City <br />State Z�P <br />Subdivision Change Map Y1N <br />Phone No ( ) - Ext __ <br />Second Phone ( ) - Ext <br />E-MailAddress _ __ _ . <br />Problem Information <br />Address 5�1 Street LEGION DR <br />From Cross Street <br />To Cross Street <br />City ZiP <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHtR OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assic�nment Information <br />Dept Priority <br />Crew <br />Contractor <br />Assigned To <br />A�signed By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time _ __ _ __ _ <br />Route Route Sequence <br />Comments <br />Action Taken REPLACE .75 INCH CURBSTOP WITH NEW .751NCH SETTER, JUMPER AND BOX. <br />Date Ri:quested <br />Related'�equest <br />Estimated Hours <br />Recommended Action <br />Approved By HLJ Hussv, uNce e. Jub Cost InformGtion(Y/N) _ <br />-- . -- <br />Start Date � i Time Date Completed vsno�z ____ Permit No _ <br />Completed By Time Follow Up? ___ ____ <br />