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Work ActiWity Work Order �°f�- � <br />4,'7l[Oi� 1:.32 <br />ISSUed By SJT2 SPOONER, JA�dES T. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued 2�z3izo�s <br />Fund aot Accounts Program �io Furction >>y ACUviry 675 <br />Program <br />Tllle REPAIR 75 INCH 10926 9TH DR SE 710119575 <br />Work Order No 20150486 Project Activity Type CORRECTIVE r�n�ureNaNce Status c� <br />Status 2�i3rzo�; Time o5ae Origin2l WO Billing , <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No � 1- Ext <br />Second Phone l 1• Ext — <br />E-Mail Address <br />Problem Information <br />Address 10926 Sireet gTH OR SE <br />From Cross Street <br />To Cross Street <br />Gty Zip <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem OTHER G)'HER <br />Requested By <br />Agency <br />Initiated From <br />Map Re(erence <br />Utildy Locale (USA) No Called Date Expiration Date <br />Assignment In(ormation <br />Uept Priority <br />Crew <br />Contractor <br />Assigned To <br />�ssigned By <br />Assigned Date To Be Comp Dale __ <br />Scheduled Date Scheduled Time __ __ <br />Route Route Sequence <br />Comments <br />Action Taken REPLACF..751NCH CURBSTGP WITH J51NCH SETTER, JUMPER ANO BOX. <br />Recommended Action <br />Approved Dy WDL WEAVER, DEAN L <br />Start Dale � i Time <br />Completed By <br />Datc Requested <br />Related Requesl <br />Estimated Hours <br />Job Cost Information(Y/N) <br />Date Completed vzn2oi5_ Permit No_ _ <br />Time Follow Up� <br />