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Work Activity Work Order <br />Page 1 <br />1�/i�!zoii 9:00 <br />ISSll2d By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued �omizoi� <br />Fund aot Account s Program »o Function �t9 Activity 675 <br />Program <br />TiIIE REPAIR 75INCH 2723 LEONARD �R 710119675 <br />WO�k OfdBf NO 20112369 PfOJ@Cf ACIIVIty Typ2 CORRECTIVE MAINTENANCE Si2iU5 CL <br />Status �o��vzon Time to:nz Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( ) • <br />Second Phone l ) - <br />E-Mail Address <br />Problem Informatia� <br />Address y7p3 <br />From Cress Street <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Prcblem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned f3y <br />Assiyned Date <br />Scheduled Date <br />Route <br />Cammenls <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street LEONARD DR <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Custamer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requesten <br />Reiated Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken REPLACE .751NCH CURBSTOP WITIi .751NCH 5ETTER, JUMPER AND BOX. <br />Recommended Action <br />Approved By s�c SMI1N. DAVID G JOb COSf IflfOffll06011(YIN) <br />Siart Date i i Time Date Completed �o�3vzor <br />Completed By Time Follow Up7 <br />Permit No <br />