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Work Activity Work Order �a9� ` <br /> 9/23/2015 13:33 <br /> __ <br /> ' _. —_ __ ' __ . _._--___ <br /> ISSUOd By � HLJ HUSBY,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued ma�m�s <br /> Fund ao� Account5 Program �to Function t�e Ac6viry e�s <br /> Program <br /> TiIIE REPAIR ]5 INCH 214 PECKS DR 710115675 <br /> Work Order No 20151609 Project Actrviry Type SERVICE REQUEST Status c� <br /> StaWs _ �nanot5 Time �5ae Original WO __ __ _ _Billing_ _ _ _ _ <br /> Customer Information <br /> Custu�ner Name PETERSON,ANTNONV Customer ld <br /> Address z�a Streei PecKs oR <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision Change Map Y!N <br /> Phone No ( aas ) 9�3•azea Ext <br /> Second Phone � 1 - Ext – - — — <br /> E-Mail Address <br /> Problem Iniormation <br /> Address y�q Street pECKS DR <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book A1ap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By MCL7 MALIAND,CHAD L Date Requested m3no�s <br /> Agency Related Request ao�az5ae <br /> InlUated From PUBUC PUBLIC <br /> Utility Locate(USA) No Called Date Expiretion �ate <br /> Assignment Intormation <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Coniractor <br /> Assigned To WTE WESNANG.TERRY E <br /> Assigned By <br /> Assigned Date __ To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ACt1011 T8kCf1 ,75 INCH CURSTOP BROKEN,REPLACED WITf1.751NCH SETTER WITH JUMPER ANO BOX. <br /> Recommended Action <br /> Approved By wo� W[AVER.DEAN L Job Cost Information(YIN) <br /> .. ------ —__ _. <br /> Start Date _� �_ Time __ _ Date Completed msnois_ _ Permit No _ <br /> Completed By__ _ _ _ Time ___ Follow Up7_ ___ __ <br />