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1 �'/ <br /> �I <br /> 1 r ' : � <br /> , � ; , ��' . <br /> 1 � <br /> Work Activity Work Order Page 1 <br /> 12/10/2015 15 :08 <br /> ISSU2d By HLJ HUSBY,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued �a�eno�s <br /> Fund ao� Account 5 �� S Program �to Function »y Activit/ 675 <br /> Program ��q�� Lt.l <br /> Tltle REPAIR .751NCH7a20-6�i�1+9T�N710119675 <br /> Work Order No 20152312 Project Activity Type CORRECTIVE MAINTENANCE $18IU5 CL <br /> Status ionsrzois Time osoa Original WO Billing____ ______ <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext . <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address �qpp Street 50TN ST SW <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTNER <br /> Requested By Date Requested <br /> Aaency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Calied Date Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Coniractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time __ <br /> Roule Route Sequence <br /> Camments <br /> Action Taken REPLACED.75 INCH CURBSTOP WITH.75 INCH SETTER WITH JUMPER AND BOX. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L. JOb COSI IflfOffT18f10f1(Y/NJ <br /> Start Date � r Time Date Completed 1 011 612 0 1 5 Permit No <br /> Completed By _ Time _ Follow Up? <br />