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Work Activity Work Order <br />ISSUBd By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued aiei2o�z <br />Fund ao� Account s Program �io Funct�on t�e <br />Program <br />Tltle REPAIR .75 1NCH 1923 33RD ST 770119675 <br />Work Order No Z0�2�76� Project Activity Type SERVICE RE�UEST <br />Status e�aizoiz Time os:sz Original WO 2o�z�ns Billing <br />Customer Information <br />Customer Nsme <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � > - <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem Information <br />Address 1923 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street 33RD ST <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ <br />Scheduled Date _ <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Change Map YIN <br />Map Reference <br />�xpiration Date <br />Pagz 1 <br />10/3/2012 9:56 <br />aoc���ry e�s <br />Status c� <br />Date Requested <br />Related Request oo�tt3s2 <br />Priority Estimated Hours <br />Action Taken REPLACE .75 INCH CURBSTOP WITH .75 INCH SETTER, JUMPER AND BOX. SEE SR#00171392 <br />AND WIOM20121779 POR DETAILS. <br />Recommended AcBon <br />Approved By soc SMITH, DAVID G. JOb COSt If1fOfIT12��0�(Y/N) <br />Start Date i � Time Date Completed a�a�zot2 Permit No _ <br />Completed By Time Follow Up? <br />