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Work Activity Work Order <br />Page 1 <br />iz/ze�zoii ie:zs <br />ISSUed By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 72I612011 <br />Fund qot Account s Program �to Function »y Activity 6�5 <br />Program <br />TIllO REPAIR .75 1NCH 702 HHWTHORNE ST 710119675 <br />Work Order No 2���2582 Project Activiry Type CORRECTIVE MAINTENANCE S18tU5 CL <br />Status ivenot� Time iz:o� Original WO__ _ Billing__ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 - <br />Second Phone ( > - <br />E-Mail Address <br />Problem Information <br />AddreSs 7pp <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 />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ _ <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street HAWTHORNE ST <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 />Prioriry Estimated Hours <br />Action Taken REPLACE .751NCH CURBSTOP WITH NEW .151NCH SETTER, JUMPER AND BOX. <br />Recommended Action <br />AppfOVed By SOG SMITH, DAVID G. <br />Start Date � � Time <br />Completed By _ __ _ _ <br />Job Cost Information(Y/N) <br />Date Completed ty6�2o�t _ Permit No <br />Time Fallow Up7 <br />Y3 <br />