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Work Activity Work Order pa9e 1 <br /> 1��12�2�1� 15:22 <br />, ...----------- <br /> . .-- ----� -- � - - -._____ _ ._.. . <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Departmentvw PUBLICWORKS <br /> Date Issued snsizoto <br /> Fund ao� Account s Program »o Function t�9 Activiry s�s <br /> Program <br /> Title REPAIR.75 1NCH 9906 25TH DR SE 770119675 <br /> Work Order No Z���Z4�� PfOJ2C1 Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br /> Status ens�2oio Time os:z� Original WO Billing _ ____ ______ <br /> Customer Information <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 ( ) - Ext <br /> Second Phone ( ) - Ext -— <br /> E-Mail Address <br /> _ - <br /> Problem Information <br /> Address ggpg Street ySTH DR SE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATtR WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiiity Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estirrated Hours <br /> Crew <br /> Contractor <br /> Assigned To RECORDS <br /> Assigned By <br /> Assigned Date To Be Comp Date _ OCT j ¢ ZO�U� <br /> Scheduled Date Scheduled Time ____ <br /> Route Route Sequence <br /> Comments <br /> Action Taken USED EXISTING METER VALVE ANI`ADDED 518 X 314 METER AND 112 OF 9 INCH SETTER.NO <br /> TUMMS ID#FOR THIS ADDRESS YET. <br /> Recommended Action <br /> Approved By soc SMITH,DAVID G. JOb COS�IflfOffTlB�lOf1(YIN) <br /> Start Date � � Time Date Completed 911 512 01 0 <br /> _ _ Permit No _ <br /> Completed By Time Follow Up? <br /> C� <br />