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Work Activity Work Order pa9e 1 <br /> e/a/2oiz is:so <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued �Hoi2ou <br /> Fund 4ot Account 5 Program �to Function »y Activity 876 <br /> Program <br /> Title REPAIR.751NCH112782NDAVESE770179675 <br /> Work Order No 20121256 PfOJ@C� Activiry Type CORRECTIVE MAINTENANCE $�8tU5 CL <br /> Status n�ono�z Time �a:ao Original WO Billing <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No � ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Maii Address <br /> Problem Informallon <br /> Address ��Z�g Street yNDAVESE <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 /> Utiliry Locate(USA) No Called Date Expiratio� Date <br /> Ass(gnment 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 /> Action Taken REPLACE EXISTING.75 INCH CURBSTOP WITH NEW.751NCH SETTER WI BOX AND LOCK <br /> OFF. <br /> Recommended Action <br /> Approved By soc SMITH,DAVID G. JOb COSt II1fOfR18�10t1(Y/N� <br /> Start Date � / Time Date Compteted �no�zot2 Permit No <br /> Completed By Time Follow Up7 <br />