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Work Activity Work Order p�9° ' <br />s/�3/zci5 i�:2� <br />ISSUBdBy HLJ HUSBY,LANCEJ. <br />Issued Department Pw PUBI IC WORKS <br />Date Issued �n��zo�s <br />Fund eo� Account s Program »0 1=unction tte Activiry 675 <br />Program <br />Titl2 REPLACE 75INCH 141951ST PL SW 7t0119675 <br />Work Order No 20151605 PfOJ@Cf ACliVlt)/ Typ@ CORRECTIVE MAINTENANCE StBfUS CL <br />Status 7I1312015 Time iezi OriginalWO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No Ciry <br />State Z�p <br />Subdivision Change Map Y/N <br />Phone No l ) - Ext <br />Second Phone ( ) • Ext <br />E-P�1ail Address <br />Problem trttormation <br />Address 14f9 Street 51ST PL SW <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />INtiated From <br />Utdity Locate (USA) No Called Date Expiration Date <br />Assignment In(ormation <br />Dept Priorty Estimated Hour; <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ _ To Be Comp Date _ <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken �473 515T ST SW HAS A BROKEN SHUT•OFF, THE SHUT-OFF TO 7419 57ST ST SW IS RIGNT <br />NEXT T01T IN THE SAME EXCAVATION SO lNE REPLACED .751NCH CURBSTOP WITH .751NCH <br />SETTER W�TH JUMPER AND BOX <br />Recommended Action <br />Approved By wDL w�vER, oEAN � Job Cost Information(Y!N) <br />Start Date � r Time Date Completed 7N411015 Permit No <br />