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Work Act�vity Work Order ��9z 1 <br /> _. ____ _ __ 9/"s6/2019 12:55 <br /> Issued By SJT2 SPOONER,JAMES T. <br /> issued Department Pw PUBLIC WORKS <br /> Date Issued eizenoia <br /> Fund 40� Account s Program »o Function �iy Activity 6�s <br /> Program <br /> TttlO REPAIR 1 INCH 2710 10TH ST 710119675 <br /> WOfI< OfdBf NO 70142832 PfOJ2C1 Activity Type CORRECTIVE MAINTENP�NCE SfBlUS CL <br /> Statu;_ enarzoia Time ie:3s Original WO Billing <br /> Customer Information <br /> Cusiomer Name Cust�mer ld <br /> Address Street <br /> Apartment No City <br /> State Lip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext -- -- -- <br /> E-Mail Address <br /> Problem Information — — <br /> Address pl�p Street �OTH ST <br /> From Cross Street <br /> To Cro- 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 /> ency Relaled Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Infonnation <br /> Dept Priority Estimate� Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken qDD I INCH SETTER AND METER W!TH 00X TO EXISTING 7 INCH SERVICE. <br /> Recommended Action <br /> Approved By wo� weo,vea, oeqN� Job Cost Information(Y!N) <br /> Start Date i � _ Time Date Compleled oiz9izoia Permit tJo <br /> Completed By _ _ _ Time Follow Up? <br /> e,y — -- ------- <br />