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Work Activity Work Order page 1 <br /> 2/22/2012 9:24 <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued va�zotz <br /> Fund Qo� Account s Program »o Function »y Activity e�s <br /> Program <br /> TIll2 REPAIR.7� �NCH 2115 E GRAND 770119675 <br /> Work Order No Z0�20��2 PfOJBC� Activity Type CORRECTIVE MAINTENANCE St0►US CL <br /> Status i�ai2oiz Time ts:3s _ _Original WO __ _ Billing ___ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l ) - Ext _ <br /> Second Phone ( ) - Ext -- <br /> E-Mail Address _____ _ _.-___— <br /> Problem Information <br /> Address y�15 Street E GRAND AVE <br /> From Cross Street <br /> To Cross Street <br /> . <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Flours <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 COLLECTED 560.00 FOR TEST ON.75 INCH DORMANT SERVICE.WILL REPLACE.751NCH <br /> CUR95TOP WITH .751NCH SETTER AT SAME TIME.97 PSI,J2 GPM <br /> Recommended Action <br /> Approved By soc sMirr+, onvio c Job Cost Information(YIN) <br /> Start Uate i i Time Date Completed vazot2 _ Permit No <br /> Complete, y Time Foilow Up? <br />