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Work Activity Work Order Pa9e 1 <br /> 3/ie/zoio ia:oi <br /> ISSUOd BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ti2sizoto <br /> Fund aot Account 5 Program ��o Function tte Activity e7s <br /> Program <br /> Tille KILL.S INCH 3601 SMITII AVE 710119675 <br /> WorkOrderNo 2���06�� PfOfBCI ActivityType CORRECTIVEMAINTENANCE $fBfUS CL <br /> Status ti2sizo�o Time oria Original WO_____ _ Billing __ _ ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> Slate Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ] • Ext — <br /> E-Mail Address <br /> Probiem Information <br /> Address 3601 Streel SMITH AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference �i <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locale (USA)No Called Date Expiralion Date <br /> Assignment Information <br /> Dept Priorily Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ACtiOn Taken CONTRACTOR HIT DORMANT.S INCH SREVICE.MPJN WAS ON SAME SIDE OF STREET.KILLED ' <br /> SERVICE AT MAIN.SERVICE WAS NOT MARKED. <br /> Recommended Action <br /> Approved By s�� SMiTH,oAvio G. Job Cost Information(YIN) <br /> Slart Dale � � Time Date Completed 2@514010 Permit No <br /> Completed By 1'ime Follow Up? <br /> � <br />