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Work Activity Work Order <br />Page 1 <br />sizeizoio a:z� <br />ISSUEd By �� SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued anmzo�o <br />Funcl aat Account s" P�ogram �to Function �is Activity 675 <br />Program <br />Tille <br />REPAIR .75 INCH 1909 22ND ST 770119675 <br />WOfk OfdBf NO 20101303 PfOJ2Cf AC[IVity TyP@ CORRECTIVE MAINiENANCE <br />Status snv2oio Time o5:a2 Original WO ______Billing__ __ ______ _ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � � <br />Second Phone � � <br />E-Mail Address <br />Problem Information <br />Address 1901 <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By <br />Agency <br />Initiated From <br />Ulility Locale (USH) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ _ <br />Scheduled Date ____ _ . <br />Rouie <br />:,omments <br />Slreat <br />City <br />Zip <br />Ext <br />Ext <br />Street y2ND ST <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Mep 'fIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiratiui Date <br />Priority Estimated Hours <br />Action Taken PINHOLE LE�.K ON .751NCH POLY ON CITY SIDE. CUT OUT LEAK & PUT IN 21NSTA <br />UNIONS Wl .75 INCH POLY. SERVICE IS BLUE POLY Ck CITY SIDE. <br />Recommended Action <br />Approe�ed By SDG SMITH, DAVID G. <br />Start D3te � �___ Time <br />Comple�ed By <br />Status c� <br />.lob Cost Information(YIN) <br />Date Completed siunoto _ Permit No <br />Time Follow Up? <br />