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� � ����� ���� <br /> Work Acti��ity Work �rder 'u9e 1 <br /> --- - - - ------------ 9/ze/zo�a iz:s6 <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PueLICwoRKs <br /> Date Issued 8129/20�4 <br /> Fund no� Account s Program »o Function �iy Ac6vity s�s <br /> Program <br /> TitIO TEST1 INCH 2770 tOTH ST 770119675 <br /> WO�k O�def NO 20142839 P�OJBCi Activiry Type CORRECTIVE tv1AINTENANCE Sf2IU5 CL <br /> Status eiz9izo�a Time ie:oz Original WC Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( ) • Ext - - - --_ - - -- ---- -- <br /> E-Mail Address <br /> Probl2m Information — — <br /> Address p;�p Street �OTH ST <br /> From Cross Street <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Book Map ReferEnce <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dat? Requested <br /> Agency Related Request <br /> Initiated From <br /> Utili�/ Locate IUSA) 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 Da�e ___ To Be Comp Date <br /> Scheduled Date __ __ Scheduled Time <br /> Route Route Sequence <br /> IComments <br /> Aclion Taken TEST ABOVE SERVICE.TUMMS ID SHOWS ADDRESS AS 1000 PINE ST.UB IS BILLING AS <br /> 2710 10TN ST.72 P51,14 GPM. <br /> Recommended Action <br /> Approved By wD� w'cAVEtt, oEnN�. Job Cost Information(Y/N) <br /> Start Date _ i i_ Time Date Completed a�za�zo�a Permil No <br /> Completed By Time Follow Up? <br />