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NO MATERIALS <br /> Page 1 <br /> Work Activity Work Order l0�l0,2012 14:1, <br /> ISSUBd By SJTZ SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued anei2o�z Activi s <br /> Fund ao� Accounts Program »o FuncGon tty �Y �s <br /> Proyram <br /> TIll2 REPAIR.75 INCH 2503 6TH ST 710119675 <br /> Work Order No Z��ZZ��$ PfOJeCt Activity Type CORRECTIVE MAINTFNANCE St8�U5 CL <br /> Status sneno�2 Time os:5� Original WO 8illing ___ <br /> Customer Infortnation Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone l > - Ext <br /> E-Mail Address — <br /> Problem Information <br /> Address 2503 Screet E,TH ST <br /> From Cross Street <br /> Tn Cross Street ZiP <br /> City <br /> Subdivision Map t3ook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate(USA) No Called Date P <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <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.751NCH CURBSTOP T0.751NCH SETTER WITH JUMPER AND BOX.CONTRACTOR <br /> HAS EXPOSED FOR SMELTER CLEAN UP. <br /> Recommended Action <br /> Approved By soc SMITH,DAVID G. JOb COS�IflfOftT12tI0f1(YIN) <br /> Start Date i � Time Date Completed sn�zot2 _ Pertnit No _ <br /> Completed By Time Follow Up? <br />