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Work Activity Work Qrder Paoe 1 <br />a/is/zoii ia:zo <br />_ _ _ _ <br />ISSU2d BY SJT2 SPOONER, JAMES T. <br />Issued DepaRment Pw PUBLIC WORKS <br />Datelssued nzenot� <br />Fund ao� Account s Program �to Fur.ction »y Activity 675 <br />Program <br />TIllB REPLACE .751NCH 605 33RD ST 710119675 <br />Work Order Na 20111329 PfOJ2Cl Activity Type CORRECTIVE MAINTENANCE StB�US CL <br />Status �izaizoii Time w:i5 Origin2l WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment f�o City <br />State Zp <br />Subdiv�sion Change Map YIN <br />Phone No ( 1 - Ext <br />Second Phone i ) • Ext <br />E-Maii Address <br />Problem Information <br />Address 605 Street 33RD ST <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />?roblem WATER WATER <br />Sub Problem OTHER OTHER <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 Scheduied Time <br />Route Route Sequence <br />Comments <br />Action Taken REPLACE .75 INCH CURBSTOP WITH .75 INCH SETTER WI JUMPER AND BOX. ALSO PUT IN <br />NEW .751NCH POLY FROM MA14 TO SETTER. <br />Recommended Action <br />App� oved By SDG SMITH, DAVID G. <br />Start Date � � Time <br />Completed By <br />Job Cost inforrnation(Yl�) <br />Date Completed nze�2ott Permit No <br />Time i=ollow Up? <br />