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Work Activity 1Nork Order �a9e 1 <br />s/2e/2oio ia:zo <br />ISStI@d By � SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued anzno�o <br />Fund aot Account 5 Program ;�u Function »y Activity e�s <br />Program <br />TItIB TEST .S INCH 2914 W MARINE VIEW DR 710119675 <br />Work Order No 20102316 PfOJeCt Activity Type GORRECTIVE MAINTENANCE SIBfUS CL <br />St2fl1S 8/12I2010 TIfT10 1232 Of191f101 WO ___ _ _Bllllfl� _ _ ___ __ _ __ ____ _._.__ <br />Customer Information <br />Customer Name Ciutomer ld <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext <br />Second Phone l ) - Ext <br />GMail Address __ __ <br />Problem Information <br />�ddress yg�q Streei yyMARINE VIEW DR <br />From Cross Street <br />To Cross Street <br />City 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 Priority Estiinated Hours <br />Crew <br />Con[racicr <br />Assigned To <br />Assigned By <br />Pssigned Date _._ __ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Coir�ments <br />Action 7aken TEST.S INCH DORMANT SERVICE.GO-SYNC SHOWS AS .751NCH. THE STRUCTURE SHOWN AS <br />2914 IS NOT THERE. SEE PHOTOS. <br />Recommended Action <br />Approved By SOG SMITH, DAVID G. <br />Sldit Date � i Time <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed entizoio __ Permit No __ <br />Time Follow Up? <br />