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Work Activity Work Order pa9e 1 <br /> 3/21/2012 30:02 <br /> ISSUOd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued uz�rzo�z <br /> Fund ao� Account s Program �io Function ��y Activity 675 <br /> Program <br /> TiIlO CONVERT.75 INCH 905 WESTMINSTER CIR i 10119675 <br /> Work Order No 20�2�3�0 Project Activiry Type CORRECTIVE MAINTENANCE SfBtUS CL <br /> Status zrzvzoiz Time uz3 Original WO __ __ Biliing___ _ <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext - <br /> E-Mail Address <br /> Problem information <br /> _— - ---- --- - <br /> Address gpg Street yyESTMINSTER CIR <br /> From Cross Street <br /> To Cross Slreet <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 /> Initialed From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Informatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date _ <br /> Scheduled Date Scheduled Tinie <br /> Route Roule Sequence <br /> Comments <br /> ACtIOn Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WI METER AND BOX.OWNER RE�. <br /> Recommended Action <br /> Approved By soc sMirrt,onvio�. Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed vzeno�z Permit No <br /> Completed By Time _ _ Follow Up?_ <br />