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Issued By SJT2 <br />Issued DepartmentPw <br />Date Issued sne�zan <br />Fund aot <br />Program <br />Work Activity Work Order <br />SPOONER, JAMES T. <br />PUBLIC WORKS <br />Page 1 <br />6/14/2011 1G:26 <br />Account 5 Program �to Function ttg Activity 673 <br />TIll2 REPAIR 6 1NCH 2311 STATE 5T 710119673 <br />Work Order No 20110801 Project Activity Type SERVICE REqUEST Status c� <br />Status snsizott Time �3:se_ OriginalWO ___ Billing __ _ _ <br />Customer Information <br />Customer Name KNAPP, DENNIS <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( azs ) 459•5420 <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem Information <br />Address Y3�� <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By GMA1 GOGAL, MARJORIEA. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No <br />Assignment Informatfon <br />Dept Pw PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To s�rz <br />Assigned By <br />Assigned Date _ ___. <br />Scheduled Date _ _ __ <br />Raute <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />[xt <br />Street STATE ST <br />Map Book <br />Called Date <br />SPOONER, JAMES T. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Expiration Date <br />Date Requested enenott <br />Related Request 000ea5rt <br />Priority Estimated Hours <br />Action Taken BEIL CRACK ON 61NCH C.I. MAIN. CUT OUT BELL AND PUT IN TWO 61NCH HY•MAX <br />COUPLINGS Wl3 FEET OF D.I. PIPE. <br />Recommended Action <br />AppfOVEd By HLJ HUSBY,LANCEJ. <br />Start Date � � Time <br />Completed By <br />Job Costlnformation(Y/N) <br />Date Compieted s��eizo�� Permit No <br />Time Follow Up? <br />Y�� <br />