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Work Activity Work Order <br />Page 1 <br />2/8/2011 15:01 <br />ISSUOd BY SJ'f2 SPOONER, JAMES T. <br />Issued Departmentvw PUBLICWORKS <br />Date Issued tizvzott <br />Fund ao� Account 5 Program »o Function �iy Activity 675 <br />Program <br />Tltle REPAIR .75 INCH 6512 WETMORE AVE 770119675 <br />Work Order No z0� �OZ3� PfOJ@C� Activiry Type CORRECTIVE MAINTENANCE St8iU5 CL <br />Status v2v2oii Time �4:as Original WO Billing _ <br />Customer Information <br />Customer Name Cus!omer ld <br />Address Street <br />Apartment No Ciry <br />State Z�P <br />Subdivision Cnange Map Y/N <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext — --- -- — <br />E-Mail Address <br />Problem Information <br />Adctress 6512 Sheet yyETMORE AVE <br />From Cross Street <br />To Cross Street <br />City Z�P <br />Subdivision Map Book Map Reference <br />Probiem WATER WATER <br />Sub Problem � �AK LEAK <br />Requested By Date Requested <br />Agency Related Request <br />Iniliated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date _ <br />Scheduled Date Scheduled Time <br />Roul�: Route Sequence <br />Comments <br />Action Taken CONTRACTOR HIT .75 INCH POLY SERVICE. PUT IN TWO .751NCH INSTA UNIONS AND 2 <br />1=EET OF POLY. SERVICE WAS NOT MARKED. <br />Recommended Action <br />Approved By oo� otu�zr, onvi� � Job Cost Information(Y/N) <br />Start Date r l Time Date Completed vztizott Permit No <br />Completed By Time Foilow Up? <br />