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Work A►ctivity W��rk Order 'ag` ' <br /> s/'-�%3oia 13:_� <br /> -- - - _------ - <br /> ISSUBd BY SJT2 �SPOONER,JAMES T. <br /> Issued DepartmentPw PU3LICWORKS <br /> Date Issued iizcizota <br /> Fimd qoi Account 5 Program ��o Function t�e Activity s�s <br /> Program <br /> ��If18 REPAIR.75 1NCH 2O10 1CTH ST 71Gi 19575 <br /> Work Order No 20140508 Project Activity Type CORRECTIVE MAIIJTENANCE Sf2fU5 CL <br /> Status vze�zota "f ime �s:as Ori inal W0 Bilii�g_ _ _ __ __ _ _ _ __ __ <br /> ' - 9 --- - --—--- <br /> Customer Information <br /> Customer �ame Customer ld <br /> ?,ddress Street <br /> Apartment f�o City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone � ? • Ext - — <br /> E-Mail Address ______ _._. <br /> Problem !nformation <br /> Address 2010 Street �07'N ST <br /> From Cross Street <br /> To Cross Street <br /> C!ly '-�P <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 /> Initiated �rom <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 Ey <br /> Assigned Uate To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE.751NCH CURBSTOP WITH.751NCH SETTER,JUMPER AND BOX. <br /> Recommended Action <br /> Approved By w�L wEavER,�EnN�. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed zns�zoia_ _ Permit No __ __ <br /> Completed [3y Time Follow Uo? <br />