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Work Activity Work Order pa9e 1 <br /> 6/27/2013 15:53 <br /> ISSUEd By SJT2 SPOONER,JO.MES T. <br /> Issued DepaRment Pw PUBLIC WORKS <br /> �ate Issued 2/1 212 01 3 Activit <br /> Fund aot Accounts Program �to Function tts y s�5 <br /> Progiam <br /> Title REPAIR.75 INCH 4927 23RD AVE W 710119675 <br /> Work Order No 20130353 PfOJOC� Activiry Type CORRECTIVE MAINTENANCE $tBtUS CL <br /> Status 2nzizo�3 Time izs3 Original VJO _ Billing _ _ <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext _ _ _ <br /> Second Phone ( ) - Ext <br /> E-Mail Address --- — <br /> Problem Infarmation <br /> Address 49Y7 Street y3RD AVE W <br /> From Cross Street <br /> To Cross Street <br /> Ciry Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER <br /> Requested By Date Requested <br /> Related Request <br /> Agency <br /> initiated From <br /> Utility Locate(USA) No Cai;ad Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date __ _ — --- <br /> Scheduled Date __ __ Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE.75 INCH CURBSTOP WITH.75 INCH SETTER,JUMPER AND BOX.CONVERTING <br /> 5001 AT SAME TIME. <br /> Recommende� Action <br /> Approved By wo� weavea,oeaN�. Job Cost Information(Y1N) <br /> Start Date � � Time ____ Date Completed 2/14/2013 Permit No <br /> Completed By Time Follow Up? <br />