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__ ___. . -- <br />Issued cy SJT2 <br />Issued Departmentrw <br />Date issi!ed �vzoizo�z <br />Fund 40� <br />Pro ram <br />VlFork Activity Work Order <br />SPOONER, JAMES T. <br />PUBLIC WORKS <br />Page 1 <br />iz/�/zoi3 iz:ai <br />Account 5 Program no Function tie Activity 673 <br />9 <br />TItlB REPAIR 6 INCH 9G7 52P:D ST SE 770179673 <br />Work Order No 20122685 Project Activiry Type SERVICE REQUEST <br />Status tznvzm2 Time orz� Original WO__ __. .________Billing _ <br />Customer Information <br />Customer Name JOHNSON, ILEEN <br />Address 906 <br />Apartment No <br />State <br />Subdivision <br />Phone No ( azs ) 353-1126 <br />Second Phone � � - <br />E-Mail Address <br />Probl�r�i information <br />Address 90i <br />Fr�.m. Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Stf22� 52ND ST SE <br />City <br />Zip <br />Ext <br />Ext <br />Street 52ND ST SE <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By CCM CABE, CHAD M. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To HMA3 <br />Assigned By <br />assigned Date _ _ ____ <br />Scheduled Date ____ ___ <br />Route <br />Comments <br />Map Book <br />Called Date <br />HERNANDEZ, MIGUEL A. <br />To Be Comp Date <br />Scheduled Time __ <br />Route Sequence <br />C' :stomer ld <br />Zip <br />Change Map YIN <br />Map Reference <br />Expir2tion Date <br />St8�U5 CL <br />Date Requested tz�zonot2 <br />Related Request oo��s56e <br />Priority Estimated Hours <br />Action Taken 6 INCH CI BEAMLOAD BREAK IN PARKING STRIP AT 901 52ND ST SE. PUT ON 6 X 121NCH <br />3TAINLE55 WRAP AROUND. <br />Recommended Action <br />Job Cost Information(YIN) <br />Apc�oved By BRP BIGLEY, RYAN P. P8fR11� NO <br />.____ _. ____. ----- - <br />Start Date i � Time Date Complete �tizo�zot2 __ -- <br />-- — <br />Completed By Time Follow Up? <br />