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.. .-- - -- --- - ---- <br />issued By sar2 <br />�ssued DepartmentPw <br />Datelssued enonoto <br />Fund 40� <br />Program <br />Wor�c Acfivity In/ork Order pa9e 1 <br />7/13/2011 11:35 <br />SPDONER, JAMES T. <br />PUBLIC WORKS <br />Account 5 Prcgram »o Function »y Activity s�5 <br />Titie REPAIR .7E INCH 9229 iBTH AVE W 710I19675 <br />Work Order No 20102405 Project Activity Type CORRECTIVE h1AINTENANCE <br />Status enmzoto . Time �too Original WO Billing _ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 - <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem Information <br />Address gyZg <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Pr�blem WATER <br />Suo Problem OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date ____ _ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Slreet 18TH AVE W <br />WATER <br />OTHER <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Status c� <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiralion Date <br />Priority <br />Estimated Hours <br />Actio�i Taken TRANSFER .751NCH SERVICE FROM 41NCH STEEL MAIN ON WEST SIDE OF 18TH AVE W TO <br />12INCN D.I. MAIN ON EAST SIDE OF 18TH AVE W. <br />Recommended Action <br />Approved By HW Husev, �+Nce �. Job Cost Information(YIN) <br />_.. _ _ <br />— ---- — — - <br />Start Date i � Time Date Completed snoizoii Permit No <br />--_ ---- <br />Completed By Time Follow Up? <br />