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Work Activity Work Order pa9e 1 <br /> 11/1/2011 10:35 <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �miono�t <br /> Fund qoi Accounl5 Program Tto Function »y Activity s�s <br /> Program <br /> T1110 REPAIR.75 1NCH 1675 PALM AVE 770119675 <br /> Work Order No 20112360 Project Activity Type SERVICE REDUEST Status c� <br /> Status �onono�t Time os:3e Original WO Billing <br /> Customer Information <br /> Customer Name GADBOIS,KEwN Customer ld <br /> AddfQ55 1615 SIfBB� PALM AVE <br /> Apartment No City <br /> Slate Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( az5 1 299-0770 Exl <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 16�5 Street pqLMAVE <br /> From Cross Street <br /> To Cross Street <br /> Cih/ ZiP <br /> Subdivision Map Book Map Reference <br /> Prablem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By HSR HOFFMAN, STEVEN R Date Requested 91297201� <br /> Agency Related Request oo�oz2aa <br /> Initiated From PUBLIC Pueuc <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned Ta WMW WARD,MICHAEI W. <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ACtlOtl TBkCfI .751NCH POLY SpLIT.ADDED.75 INCH 45 DEG.STREET ELL.SO POLY WAS LINED UP <br /> STRAIGHT.REPAIR WAS IN A OLD MERER BOX IN YARD.A .751NCH SETTER AND BOX <br /> HAS BEEN PUT OUT NEAR STREET. <br /> Recommended Action <br /> Approved By s�c SMirtf,Dnvio G. Job Cost Intormalion(YIN) <br /> Start Date � � Time Date Completed �omzott Permit No <br />