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Work Activity Work Order Pa9e 1 <br /> —_-___ .__ 1��12�2�1� 15:21 <br /> ISSU@d By SJT2 SPOONErZ,JAMES T. <br /> Issued Department rw PUBLIC WORKS <br /> Data i;sued 9115I2010 <br /> Fund ao1 Account s Program »o Function ��y Activity 6�5 <br /> Program <br /> i Ifl2 REPAIR.75 INCH 9920 25TH DR SE 710179675 <br /> Wark Order No Z���Z4�3 PfOf2Ct Activiry Type CORRECTIVE MAINTENANCE Sf8fU5 CL <br /> Status sn5rzoio Time os:ao Originai W0_ _ Biliing <br /> Customer Information <br /> Customer Name CuStc- �r ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision �nge Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address ggyp Street p�TH DR SE <br /> From Cross Street <br /> To Cross Stre=t <br /> City Zip <br /> E�bdivision Map Book Map Reference <br /> Probiem WATER WATER <br /> Sub Problem OTHER UTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <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 USED EXISTING ME?ER VALVE AND ADDED 518 X 3l4 METER AND tl2 Of 9 INCH SETTER. <br /> NO TUMMS ID#FOR ;HIS ADD!;'c5S YET. <br /> Recommended Action <br /> Approved By SDG SMITH, DAVID G. JUb COSt ItlfOff118110f1(Y/N� <br /> Start Date _ � � _ Time ____ Date Completed 9ns�zo�o Permit No <br /> Completed By Time Foliow Up? <br />