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Work Activity Work Order <br />Page 1 <br />iz/ze/2o�.i i6:za <br />ISSUOd By SJT2 SPOONER, JAMES T. <br />Issued DepartrnentPw PUBLICWORKS <br />Date Issued tysrzo�� <br />Fund aot Account 5 Program �to Function t�e Activity s�s <br />Program <br />TIllO REPAIR .75INCH 4824 HARBOR LN 770119675 <br />Work Order No 20112578 PfOJBC[ Activity Type CORRECTIVE MAINTENANCE Si81U5 CL <br />Status tv5rzoi� Time �s:3a Original WO _ Billing_ ____ _ <br />Customar Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � 1 - <br />Second Phone ( 1 • <br />E-Mail Address <br />Problem Information <br />Address 4824 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contrector <br />Assigned To <br />Assigned By <br />Assigned Date _ _ <br />Scheduled Date _ <br />Route <br />Comments <br />Street <br />Cily <br />Zip <br />Ext <br />Ext <br />Street HARBOR LN <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Priority <br />Change Map YIN <br />Map Reference <br />Expiration Date <br />Action Taken REPLACE .75 INCH CURBSTOP WITH .751NCH SETTER, JUMPER AND BOX. <br />Recammended Action <br />A��proved By <br />Start Date <br />Completed By <br />SDG SMITH, DAVID G. <br />� i Time _ <br />Date Requested <br />Related Request <br />Estimated Hours <br />Job Cost Information(Y/N) <br />Date Compieted �vsno�� Permit No _ <br />Time Follow Up? _ <br />-- y3 <br />