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Issued By CAG <br />Issued Department PW <br />Date Issued 612812005 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />CRUM,GERRY <br />PUBLIC WORKS <br />Page 2 <br />2/23/2006 11:03 <br />Accounts Program 710 Function 1tg Activity 673 <br />Title <br />TAP 2 INCH 9820 27TH AVE SE 710119673 <br />Work Order No <br />20050625 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Date <br />6/28/2005 Time08:05 Original WO Billing <br />Completed By WMF WELLMAN. MARK F. Job Cost Information(YIN) <br />Start Date <br />I / Time Date Completed 6/3/2005 Time <br />Approved By <br />Follow Up? Permit No <br />Problem Details <br />NEW 2" WATER MAIN. NEEDS ID# ASSIGNED. <br />Structure ID <br />Stf ry Activity ComDl Dale Time Completed <br />YES 8/3/2005 <br />Vehicle Costs <br />Type Vehicle No <br />Description Hours Cost Billing Date Billing Code <br />V J0049 <br />2000 FORD 1 1/2 TON SERVICE TR 4 38 08/03/2005 <br />Total Vehicle Cost $38.00 <br />Material Costs <br />Type Mater No <br />Description _ Quantity Cost Billing Date Billing C <br />M BOX000043347 <br />BOX VALVE 18 TOP 24 BOTTOM AND LID CAST IRON 1 35.543 08/03/2005 <br />M COUP38007347 <br />COUPLING 2 MIP X 2 CTS COMPRESSION 1 21.022 08/03/2005 <br />M INSE38021047 <br />INSERT STIFFENER 2 CTS USE WITH 2 CTS POLY PIPE 1 1.035 08103/2005 <br />M NIPP38133847 <br />NIPPLE 2 NPT X CLOSE (RED BRASS) 1 3.323 08/03/2005 <br />M PIPE38060947 <br />PIPE 2 POLY C-S 100 63.1 08/03/2005 <br />M SADD50019147 <br />SERVICE SADDL: 12 W/2 IP TAP FOR 12 DI 13.20.14.38 1 41.212 08/03/2005 <br />M VALV38034348 <br />VALVE GATE 2 FIP X FIP DI 250 PSI W/OP NUT 1 149.52 08/03/2005 <br />Total Material Cost $314.75 <br />NA Costs <br />Type Na No <br />Description Quantity Cost Billing Date Br ling Code_ <br />NA N/A <br />TAP FEE 1 150 08/03/2005 <br />Total NA Cost $150.00 <br />Personnel Costs <br />Type ID <br />Name Hours Cost Billing Date Earning Code Class <br />Total Personnel Cost $172.45 <br />Total Cost $675.20 <br />