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Work Activity Work Order Page 1 <br /> 8/8/2012 15:57 <br /> Issued By SJT2 SPOONER,JAME5 T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued mti2ot2 <br /> Fund aot Account5 ?rogram �to Function �te Activity 875 <br /> Program <br /> Tltle REPAIR.75 IYCH 2409 5TH ST 770719675 <br /> Work Order No Z��Z�264 Project Activity Type CORRECTIVE MAINTENANCE S�8tU5 CL <br /> Status �nvzoi2 Time ossa Original WO Billing __ <br /> Custorner Informatton <br /> Cust�mer Name Customer Ici <br /> Address Street <br /> Apartment No City <br /> Stal.e Z�P i <br /> Suhdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - Ext <br /> E-4Nail Address <br /> Problem Intormation <br /> Acldress 2409 Street 5TH ST <br /> From Cross Street <br /> Tu Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER INATER <br /> Sub Problem OTHER OTHEli <br /> Requested By Date Requested <br /> Agency Related Request <br /> initiated From <br /> U4ility !ocate(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 CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH JUMPER AND BOX.CONTItACTOR <br /> HAS EXPOSED FOR SMELTER CLEAN UP. <br /> Recommended Actlon <br /> Approved By DDL ow+szr,�nvio�. Job Cost Information(Y/N) <br /> Start Date � � Time _ Date Completed n���zots Pertnit No <br /> Completed By Time Follaw Up? <br />