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WQrk Activity Work Order r"�` 1 <br /> io/s/soii is:z� <br /> Issued By SJT2 SPOONER,!AMES T. <br /> Issued Departmentaw rueucwoHRs <br /> Date Issued erzereo�� Activit <br /> Fur�d qot Account s Program »o Punction �iy Y 675 <br /> Program <br /> TIllO CONVERT 751NCH 1401 PALM AVE 710179675 <br /> Work Order No 20112036 PfOJOC� Activity Type CORRECTIVE MAINTEIaAilCE S18iU5 CL <br /> Status erz5rzot� Time a�aa Original W0 6illing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( � • Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address 1401 Street pALM AVE <br /> From Cross Streel <br /> To Cross Street <br /> Ciry Zio <br /> Subdivision Map Book Map Reterence <br /> Probiem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> INtiated From <br /> Utiliry Locate(USA) No Cailed Date Expiretion Date <br /> Assignment Information <br /> Dept Pnority Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned Tr, <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED 72"SETTER AND NEW BO%WITH.751NCH METER. <br /> Recommended Action <br /> Approved By eBnz BRIGHTWELL,BILLV A Job Cost In(orma6on(Y/N) <br /> Start Date � � Time Date Completed 9nsrzo�i Permd No <br /> Coripleled �y Time Fallow Up� <br />