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Work Activity Work Order �''-"' ' <br /> u i.alzzls � t . ts <br /> — — - -- --- - <br /> ISSU2d BY WDL WEAVER,DEAN L. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued enLzois <br /> Fund ao� Accounts Program �io FurcGon >>9 Acuwty B�5 <br /> Program <br /> Tdle REPAIR 151NCH 2125 WETMORE AVE 7101155i 5 <br /> WO�k OfdOf NO 20151639 Pf0f2CI Actiwry Type CORRECTIVE tdAiNTENANCE $l81U5 CL <br /> StaWs enz�zois Time �saa Originat WO _ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Streei <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l � - Ext <br /> Second Phone � 1 - Ext <br /> E-Mad Address <br /> —_ _. _ <br /> Problem Information <br /> Address Y1Y5 Streel yyETMOREAVE <br /> From Cross Sheet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book h7ap Relerence <br /> Prablem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Reiated Request <br /> Initiated From <br /> Utdity Locate(USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Priority [stimated Hours <br /> Crew <br /> Comractor <br /> Assigned To • <br /> :.; <br /> Assigned By � - . :' ` <br /> F�ssianed Date To Be Comp Date <br /> Scheduled Date Scheduled Tlme __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPAIR .S INCH CURBSTOP WITH.751NCH SETTER AND BOl(.DORMANT SERV.IN FLAT TO <br /> METER PROGRAM AREA. <br /> Recommended Action <br /> Approved B;� nJJ ARCIIAM1IBEAULT,JOHN J Job Cost Informahon�Y/N) <br /> -- — <br /> Start Dale � � Time Date Completed eizano�5 __ __ Permlt No _ <br /> Completed By Time Follo�v Up? <br />