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Work Activity Work Order pa9e 1 <br /> z/zz/zoiz 9:sa <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued DepaRment aw PUBLIC WORKS <br /> Date Issued �va�zott <br /> Fund qa� Account 5 Program »o Function �ts Activity 675 <br /> Program <br /> Title COtJVERT.751NCH 2820 PANAVIEW BLVD 770119675 <br /> WOfk Ofd@�NO 20112490 PfOj2Ct Activiry Type CORRECTIVE MAINTENANCE StBtUS CL <br /> Status tveizo�t Time os:zs Original WO __ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Aparlment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 • Ext — <br /> E-Mail Address <br /> Probicm In(ormation <br /> Address zg20 Street pANAVIEW BLVD <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assic�nment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ _ ___ To Be Comp Date _ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Actio�i Taken REPLACE.75 INCH CUR[35TOP WITH NEW.751NCH SETTER,METER AND BOX.OWNER <br /> REQUESr. <br /> Recommended Action <br /> Approved By soc sr�urH,o�vio c. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed iZzv2o11 Permit No <br /> Completed By Time Follow Up7 <br />