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Page 1 <br /> Work Activity Work Order lo„a,zol, io:z2 <br /> ISSU@d By SJT2 SPOONEP.,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 911 812 0 1 2 Activi <br /> Fund ao� Account s Program »o Function »y h' s�s <br /> Progrzm • <br /> TIflO REPAIR.75 INCH 2503 6TH ST 710119675 <br /> Work Order No Z��ZZ�6$ PfOJ@Cf Activity Type CORRECTIVE MAINTENANCE StBfUS CL <br /> Sf2fUS _ _ _ 9�18/2012 TIfTI@ 06:57 Ql191f181 WD _ __ BIIII�9 ___________— — <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�n <br /> Subdivision Change Ulap Y/N <br /> Phone No ( 1 - Ext _ __ ______ <br /> Second Phone ( ) • Ext <br /> E-Mail Address —. -------------- ------ <br /> Problem Information <br /> Address 2503 Street 6TH ST <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested Dy Related Request <br /> Agency <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 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 W�Tti JUMPER AND flOX.i.ONTRACTOR <br /> HAS EXPOSED FOR SMELTER CLEAN UP. <br /> Recommended Action <br /> Approved By s�c srnirH,onvio c. Job Cost Information(YiN) <br /> Start Date � i Time _ _ Date Completed snsizo�.__ Permit No <br /> — -- – <br /> Completed By Time Follow Up? <br /> � <br />