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Page 1 <br /> Work Activity Work Order _ __1„2,Zolo 8:13 _ <br /> _ _ -- - <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued Deparlment Pw PUBLIC WORKS <br /> Date Issued imt9noto Account s Program ��o Function tte Activity 675 <br /> Fund <o� <br /> Program <br /> Ti[IB REPAIR]SINCH 2903 VICTOR PL 701119675 <br /> ZO'IOYS�E PfOf2CI Activity Type CORRECTNE MAINTENANCE S�2!US CL <br /> Work Order No __ Billin — <br /> �on9rzo�o Time tz:33 Onginal WO_ _ _ __ _ —9— - — — - <br /> Status _ — - <br /> Customer Information Customer ld <br /> Cuslomer Name Streel <br /> Address City <br /> Aparlment No Zip <br /> State Change Map Y/N <br /> Subdivision Ext <br /> Phone No � � ' -— <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information Slreet VICTOR PL <br /> Address 2903 <br /> From Cross Street <br /> To Cross Street ZiP <br /> City Map Book Map Reterence <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTIiER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initialed From Called Date Expiretion Date <br /> Utilily Locale (USA) No <br /> Assic�nment Information Priority Estimated Hours <br /> Depl <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To ge Comp Dale <br /> Assigned Dale <br /> Scheduled Date _ _ Scheduled Time _ _ _ <br /> Roule Roule Sequence <br /> Comments <br /> ACtlOtl TekCfl REPLACED.75 INCH CURBSTOP WIHT NEW.751NCH SETTER WIJUMPER AND BOX. <br /> Recommended !�c[ion <br /> Job Costlnformalion(YIN) <br /> qpproved By S�D2 STAILINGS,DONALD D. Date COf11pIBI2CJ 1 011 912 0 1 0 P8(fT�ll NO <br /> Start Date � � Time __ _ _ ------- <br /> Time Follow Up? _____ _ _ __ <br /> Completed By - <br />