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NO MATERIqL� <br /> Page 1 <br /> Work Activity yUork Order la,lo,ZolZ ,,:15 <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued 9��e�Zo�2 Function ��e Activity 675 <br /> Fund eot Account5 Program ��o <br /> Program <br /> Title REPAIR.75 INCH 2404 5TH ST 710119675 <br /> Work Order No ZO�ZZ�ss PfOJBCf Activity Type CORRECTIVE MAINTENANCE S�8tU5 CL <br /> Status enanotz Time oa:ae Original WO 6iliing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment N�� City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( > - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address — <br /> Problem In(ortnation <br /> Address 2404 Street 5TN ST <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> S�bdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Hgency <br /> Initiated From Ex iration Date <br /> Utility Locate(USA) No Called Date P <br /> Assignment Inform�tfon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrector <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH JUMPER AND BOX.GONTRACTOR <br /> HAS EXPOSED FOR SMELTER CLEAN UP. <br /> Recommended Action <br /> Approved By soG SMirri,onvio c. Job Cost Information(YIN) <br /> Start Date � I Time Date Completed snu2ot2 Permit No _ <br /> Completed By Time Follow Up7 <br />