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111fork Activity Work Order <br />Page 1 <br />e/e/zoii io:z9 <br />ISSU@d By SJT2 SPOONER, JAMcS T. <br />Issued Department Pw PUBLIC WORKS <br />Datelssued n�sno�� <br />Fund aot Account 5 Program �to Function »y Activity e�s <br />Program <br />Title REPAIR .75 1NCH 620 34TH ST 710119675 <br />Work Order No 20111064 PfOJBCi Acti•rity Type CORFECTIVE MAINTENANCE SfBtUS CL <br />Status �nsno�t 7ime tz:35 Original WO Billing __ _ <br />Customer Information <br />Customer Name <br />.4ddress <br />Apartment No <br />State <br />Subdiv:sion <br />PhonelVo ( > - <br />Second Phone ( ) - <br />E-Maii Address <br />Problem Information <br />Address 620 <br />From Cross Street <br />fo Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street 34TH ST <br />Problem WATER WA7'ER <br />Sub Problem OTHER OTHER <br />Requested k3y <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 />Cailed Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Priority <br />Change Nlap YIN <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />F.stimated Hours <br />Action Taken REMOVED .75 IIJCH PACKJOINT AND .75 INCH POLY JUMPER. PUT IN t" COPPER BLUE <br />TUBE NUT X.75 INCH MIP AND 6 FEET .75 INCH COPPER PIPE. <br />Recommended Action <br />Approved By HLJ tiusev, wNce �. Job Cost Information(Y/N) <br />Start Date I � Time Date Completed �N9�2ott Permit No <br />Completed By Time Follow Up? <br />