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Work Activity Work Order ='"° 1 <br /> .. . � . ,, _ <br /> — — ---- — - — — - — — <br /> ISSU?d Ey SJT2 SPOONER,JAh1E5 T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Datelssued �aamzo�a <br /> Fund ao� Account s Program Func6on Activity <br /> Program una�a 5 3 <br /> Tttle CONVEP:T 5 INCH 1607 RUCK[R AVE UT3a73-5�3 <br /> Work Order No 20143255 PfOJ2CI Activity Type CORRECTIVE 6VJNT[NANCE SIafUS CL <br /> Status __ +or3o�2oia Time �z ii Original W0 _ Billing _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change t✓�ap Y/N <br /> Phone Na 1 ) • Ext <br /> Second Phone ( ) - Ext -- -- — <br /> E-�vlail Address <br /> Problem Information <br /> Address 1607 Slreet FUCKER AVE <br /> From Cross Street <br /> To Cross Streel <br /> City Z�P <br /> Subdivision ivlap 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 Locale (USA) No Called Date Expiration Date <br /> Assignmc�t Information <br /> Dept Pnoriry Estimated Hours <br /> Cre�v <br /> Contrador <br /> �ssigned To <br /> Assigned 13y <br /> Assigned Date To f3e Comp Date !�i�,�� __ , � <br /> Schedule�l Dat<� Schedu!ed Tir,,e � '��`�� i�_ �!�.� ��' <br /> Route Route Sequenu� <br /> Comments <br /> Aetion Taken eoNveRr s inai cur.r�sTo�� m �s u�c!{ serrea t��in+ r,:rr[�ar:o oox r�nr rn r.sF ren <br /> rrio��cr. <br /> Recommended Action <br /> Approved 8y HLJ Husar,v,Nce� Job Cos[Information(Y/N) <br /> Slart Date � i Tine Dale Compleled �varzo�a Permit No _ <br /> L'ompleted By Time Fo'low Up� <br />