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Page 1 <br /> Wor�c Activity Work Order B,B�Zo12 15:59 <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued mysotz Activi <br /> Fund aot Account s Program �to Function t�9 �Y s�a <br /> Program <br /> Title REPAIR.75 INCH 2405 5TH ST 71011967F <br /> Work Order No 20121265 Projeet Activih/Type CORRECTIVE MAINTENANCE Status c� <br /> Status ��sz�2eiz Time or.os Original WO Billing <br /> Customer Infurmatton Customer ld <br /> Customer f�ame <br /> Address Street <br /> /`,partmerd�o ��ry <br /> State Z�P Change Map YIN <br /> Subdi�dision <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Informatiun <br /> Address 24Q5 Street 5TH ST <br /> From Cross Street <br /> To Cross Street <br /> City Z�F <br /> Subdivision Map llook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <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 By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken Cl7NVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH JUMPER AND BOX.CONTRACTOR <br /> HAS EXPOSED FOR SMELTER CLEAN UP. <br /> Recommended Rction <br /> Approv�d By wn� w�+vER,oEnN�. Job Cost Information(YfN) <br /> Start Date � � Time Date Completed mvzo�z Peimit No <br /> Completed By Time Follow Up? <br />