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Work Activity Work Order Pa9e 1 <br /> iz�ze�zoii :e:zi <br /> ISSl18d By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �vtizott <br /> Fund aot Account 5 Program �to Function tte Activity e�s <br /> Program <br /> TIflO REPAIR.75 1NCH 3505 SHORE AVE 710119675 <br /> Work Order No 20112570 Project Activity Type SERVICE RE�UEST Status c� <br /> Status t2izizoi t Time i3 oi Original WO _ _ _.__Billing__ ______ _______ _ <br /> Customer Iniormation <br /> Customer Name LAYMAN,S�EVE Customer ld <br /> Address �505 St�B@1 SHORE AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( azs ) axzao�e Ext __ _ <br /> Second Phone ( ) - Ext <br /> E-MailAddress - -- -- ---- <br /> Problem Information <br /> Address 3505 Street SHOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem SO/TO SHUT OFF OR TURN ON <br /> Requested By HSR HOFFMAN,STEVEN R. R018f2d RBGUESt 00107881 <br /> Agency <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contraclor <br /> ASSi9f12d TO DDK DANLY,DARREI K. <br /> Assigned By <br /> Assigned Date ____ To Be Comp Date __ _ <br /> Scheduled Date ___ __ Scheduled Time ____ ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken pLUMBER HAS CURBSTOP EXPOSED.WILL REPL 10E.75 INCH CUR6STOP WITH NEW.75 INCH <br /> SETTFR W/JUMPER AND BOX. <br /> Recommended Action <br /> Approved By soc SMITH, DAVID G. JOb COSt IflfOff1l8I10�(Y/NJ _ <br /> Start Date i � Time __ _ _ Date Completed ttiuso�t Permit No _ <br /> Completed By Time Foilow Up7 <br /> y3 <br />