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Work Activity Work Order Pa3e 1 <br />sia/zoin �3:ze <br />ISSUOd By SJT2 SPOONER, JAMES T. <br />Issued Department rW PUBLIC WORKS <br />Date Issued ats�zo�o <br />Fund ao� Account s Program �to Function »y Ar,tiviry s�s <br />Program <br />Tllle REPAIR .75 �NCH 3817 GRAND AVE 710119675 <br />WOfk Ofd2f %10 Z0�0��98 PfOjBC( ACIIVIty TypO CORRECTIVE MAINTENANCE $tBfUS CL <br />Status an5rzo�o Time �s:za Originai WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No Ciry <br />State Zip <br />Subdivision Change Map YIN <br />Phone No ( ) - Ext <br />Second Phone l ) • Ext - <br />E-Mail Address <br />Problem Iniormation <br />Add�ess 3811 Street GRANDAVE <br />From Cross Slreet <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Probiem WATER WATER <br />Sub Problem SO/TO SHUT OFF OR TURN ON <br />Requested By <br />Agency <br />Iniliated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Date Requested <br />Related Request <br />Dept Priorily Eslimated 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 PUT IN .751NCH SETTER WI JUMPER ANU BOX. DID NOT SHUT OFF. CUSTOMER PAID. <br />Recommended Action <br />Ap�.roved By SDG SAfITH, DAVID G. <br />Start Date � �_ __ <br />Completed By <br />Time <br />Job Costlnformation(YIN) <br />Date Completed a�si2o�o __ Permit No__ <br />Time Foilow Up? <br />