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Work Activity Work Order pa3e 1 I� <br /> 8�8�201� 15:45 � <br /> ISSU2d By S.IT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBUCwortKs <br /> Date Issue� er2�zotz <br /> Fund sot Account 5 Program �to Function ��o Adivity 6�s <br /> Program <br /> TIIIB CONVERT.75 INCH 502 WAVERLY AVE 770119675 <br /> Work Order No 20121008 Project Activiry Type CORRECTIVE MAINTENANCE Status a <br /> Stams snermiz Time �e ta Original WO Billing _ <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z'P <br /> Subdivision Change Map Y/N <br /> Phone No � 1 • EM <br /> Second Phone ( 1 - Ext <br /> E-Mail Address _ <br /> Problem Iniormatlon <br /> ddress 502 S reet yyAVERLYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z'P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate(US,4) No Called Date Expiration Date <br /> Asstgnment Infortnation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheouled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE.761NCH CURBSTOP WITH.75INCH SETTER WITH METER AND BOX.OWNER REQ. <br /> Recommended Action <br /> Approved By so� SMITH,DAVID G. JOb COSI I�fOrtT18�1011(Y/N) _ <br /> Start Date I � Time Date Completed 6�nimtt Permit No <br /> Completed By___ _ Time Follow Up? _ <br />