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Work Activity Work Order <br />Psge 1 <br />4/19/2012 15:29 <br />Issued By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued arenotz q�count s Program »o Function �te Activity e�s <br />Fund 40� <br />Program <br />Titl� REPAIR .75 INCH 3971 GRAND AVE 710119675 <br />Work Order No Z��2�44� Project Activity Type CORRECTIVE MAINTENANCE SfBWS CL <br />s�sizo�z Time �o:s5 Original WO _ Billing_ _ --- <br />Status — <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />3ubdivision <br />Phone No � � � <br />Secnnd P.".one � � ' <br />E-Mail Address <br />Problem Information <br />Address 3911 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER <br />Sub Problem OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment intormation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />As<_igned By <br />Assigned Date ____ _ _ <br />Scheduled Date _ ____ <br />Route <br />Comments <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street GRAND AVE <br />WA TER <br />OTHER <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken REPLACE .75 IN�H CURBSTOP WITH .751NCH SETTER, JUMPER AND BOX. <br />Recommended Action <br />Approved By SDG SMITH, DAVID G. <br />Start Date i i _ <br />Completed By _ __ __ <br />Job Costlnformation(YIN) _ <br />Time Date Completed vvzotz _ Permit No <br />-- — <br />Time Follow Up? __ .__ _ _ _ <br />