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1Nork Ac�ivity Wark Order <br />Page 1 <br />11;1/2011 1G:55 <br />Issued By SJT2 SPOONER, JAMES T. <br />'ssued Department rw PUBLIC WORKS <br />Date Issued �onvzo�� <br />Fund 40� Account s Program »o Function �iy Aciivity a�s <br />Program <br />TIfl2 REPAIR .75INCH 518 LEGION DR 710179675 <br />Work Order No 20��237� PfOf8C1 Activity Type CORRECTIVE MAINTENANCE $i81115 CL <br />Status ionvzoii Time iz:os Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apsrtment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phane No ( ) - Ext <br />Second Phonc ( ) • Ext <br />E-Mail Address <br />Problem Information <br />Address 5�g Street LEG10N DR <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Prtiblem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Inilialed From <br />Utility Locate (U5A) 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 Route Sequence <br />Comments <br />Action Taken REPLACE .75 INCH CURBSTOP WITH .75 INCH S[TfER, JUMPER AND BOX. PROBLEM ACC. <br />Recommended Action <br />Approved By SDG SMITH, DAVID G. <br />Start Date � � Time <br />Completed By <br />Job Costlnformation(Y/N) <br />Date Completed �on3no�� Permit No <br />Time Follow Up? <br />