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Work Activity Work Order Pa9e ' <br /> 9/1/2015 11:34 <br /> ISSU@d By HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued sismzo�s <br /> Fund eo� Account s Program ��o Function �te Activity 6�5 <br /> Program <br /> TiIIC REP�IR .75 INCH 406 PECKS DR 710719675 <br /> WOfk �fd0f NO 20151565 PfOJ8C1 Actwity Type CORRECTIVE MAINTENANCE StafUS CL <br /> Status 6/3 012 0 1 5 Time ia:z3 Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Slate Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Exl __ <br /> Second Phone ( 1 - F.xt <br /> E•Mail Address ___ _ <br /> Problem Information <br /> Address 406 Street pECKS DR <br /> From Cross Street <br /> To Cross Street <br /> Ciry Zip <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 /> Assignment Information <br /> Dept Prionty Es:imated Hours <br /> Crew <br /> ConVaclor <br /> Assigned 70 <br /> Assinned f3y <br /> Assigned Dale To f3e Comp Dale _ _ __ <br /> Scheduled Date ___ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ACllOf1 T3keI1 .751NCH CURBSTOP BROKEN IN THE ON POSITION,REPLACE WITH .751NCki SETTER AND <br /> JUMPER AND BO%. <br /> Recommended Action <br /> A�ptOVBd By AJJ ARCHAMBEAULT.JONN J. Job Cost In(orm0tion(Y/N) __ <br /> Slart Dale � � Time __ Date Completed sroorzois Permit No <br /> Completed By Time Follow Up� <br />