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Work Activity Work Order Pa9e 1 <br /> 3/21/2012 9:58 <br /> ISSUE(I BY SJT2 SPOONER,JAMES T. <br /> Issued Department aw' PUBLIC WORKS <br /> Date Issued y�s�zo�z <br /> Fund aoi Account 5 Program »o Function ttg Activity 6�5 <br /> Program <br /> Tiile REPAIR 2 INCH 2614 RUCKER AVE 710119675 <br /> WOfk OfdBf NO 20120356 PfOJ2Cl Activity Type CORRECTIVE MAINTENANCE SIBtUS CL <br /> Status 2nsrzo�z Time ts:ta _ Original WO____ _ _ Billing__ ____ _ _ __ _ ___ <br /> Customer Information <br /> Customer Name Cusl�mer ld <br /> Address Street <br /> Apartment No ���Y <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext -- --- ---- --- ---- <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 2614 Street RUCKER AVE <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 /> I�itiated From <br /> Utility Loc�te (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Cre�v <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 RAISED METER AND PUT 2 INCH METER NUT ON WITH NEW BOX. <br /> Recommended Action <br /> Approved By HW Husev,taNce� Job Cost Information(Y/N) <br /> — — - <br /> Time Date Completed ti�sno�z Permit No <br /> Start Date i � -- <br /> -- <br /> Completed BY _ _ Time Follow Up7 _ --__--_— <br />