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VUork Activity Work Order �'ge 1 <br /> 0/�o/2ois ia:no <br /> ISSU2d BY WD'_ WEAVER,DEAN L. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued fi/2512015 <br /> Fund aa� Accounts Program �io Function �i9 Activity s�s <br /> Program <br /> TIflO REPAIR]5 INCH 9116 107-H AVE SE 710119675 <br /> WOfk OfdBf NO 20151542 Project Activiry Type CORRECTIVE MAINTENANCE SfBiUS CL <br /> Status snsi2ois Time i2:oa Original WO 3illing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No 1 1 - Ext <br /> Second Phone ( 1 - Ext --- --- <br /> E-Mail Address <br /> Problem Information <br /> Address g��g Street �OTH AVE SE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Iniliated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Cunlraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ _ ___ To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE BROKEN.751NCH CURBSTOP WITH.751NCH SETTEf JUMPcR AND BOX. <br /> Recommended Action <br /> Approved Dy HLJ Hussr,t1�Nce � Job Cost Information(Y!N) <br /> Start Oate i i Time Date Completed 6�25isou Permit No <br /> _ ___ -- - ---- - - <br /> Completed Dy Time Follow Up? <br />