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Work Activity Work Order <br />page i <br />ioizizoiz .6:ia <br />Issued By SJT2 SPOONER, JAMES T. <br />Issued Department aw PUBLIC WORKS <br />Date issued �oiyzo�z <br />Fund aot Account s Program �to Function tt� Activity 6�s <br />Progrem <br />TItIB REPAIR .S INCH 2616 HARRISON AVE 7101196i5 <br />Work Order No Z��ZZZ�2 P�OJeCI Activity Type CORRECTIVE MAINTENANCE StBtUS PR <br />Status io�zrzoiz Time �s:s� Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( � - <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem Information <br />Address 2616 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street yARRISON AVE <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 />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date _ <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Reiated Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken REPLACE .5 INCH CURBSTOP WITH .75 INCH SETTER WITH JUMPER AND BOX. CUSTOMER HAS <br />REPLACEDED HIS SIDE. <br />Recommended Action <br />Approved By _ <br />Start Date � � <br />Completed By $l�Ts' <br />� <br />Job Cost Information(YIN) <br />Time Date Completed /J i z�/ L Permit No <br />Time Follow Up7 <br />