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Work Activity Work Order 'a°'� 1 <br /> 5/i7/i01d '_3:33 <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUdLICWORKS <br /> Date Issued aiar2o�a <br /> Fund qot Accounts Proaram »o Function i�y Activiry fi�s <br /> Program <br /> TItIE REPAIR.75 IIJCH 515 VERALENE WAY SW 770719675 <br /> Work Order No 20140530 PfOJ2C[ Activity Type CORRECTNE MAINTENANCE Si2iU5 CL <br /> Status 3�arzo�a Time oi:n Original VVO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�F <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-PAail Address <br /> Problem Information <br /> Address 515 Street VERALENEWAYSW <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision �4ap Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Relaled Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> r+ssigned To <br /> Assigned By <br /> A�signed Date To f3e Com;� Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ACt1011 T8k017 ,75 INCH CURBSTOP IS BROKEN WILL PUT IN.75 INCH SETTER WITH JUMPER AND LOCK <br /> OFF AS PER UB. <br /> Recommended Actfon <br /> Approved By wo� v�nveR,��+N�. Job Cost Information(YIN) <br /> Slart Date � � T�'ne Date Completed 3ianota _ _ Permit No <br /> Completed By Time Follow Up? <br />