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NO 1� ��TERi ��,S <br /> , <br /> Work Activity Work Order , _ : <br /> ISSU2d BY SJT3 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Dat�: lssued ai5i2o•,� Function i+.9 Actrvity e�s <br /> Fund ao� Account s Program »o <br /> Program <br /> Tltle TEST 1502 t00TH ST SW���1196i 5 <br /> 20130725 Pf0�2rf AClibltY TYpO CCRRECTIVE MAINTENANCE 510IU5 CL <br /> Work Order No g�lhng <br /> Slatus n,szo�3 Time o� �o Ongmal WO <br /> Customer Information (�ustomer id <br /> Customer Name Street <br /> Address City <br /> Apartmr,nt No Z'P <br /> State Change Map Y/N <br /> Subdivision <br /> Phone No ! � Ext <br /> Second Phone ' ' ' E"� <br /> E-Mail Address <br /> Problem Information Slreet �OOTN ST SW <br /> Address 1502 <br /> From Cross Street <br /> To Cross Street Z�p <br /> C�ty Map Book Map Reference <br /> Subd�vision <br /> Problem WATE.R WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> In�tiated From Called Date Expira6on Date <br /> UtJ�ry Locate (USA) No <br /> Assignment Intormalion Priority Estimated yours <br /> DPpt <br /> riew <br /> Contradur <br /> t�ssigned To <br /> Assgned By To Be Comu Date <br /> Assigned Date <br /> Scheduied Date Scheduled T�me <br /> �?oute Route Sequenre <br /> Gomments <br /> ACtIOn T�kCtt TEST ,751NCH DCRMANT SERVICE. NEW ADDRESS IS 750Y t00TH ST SW.PLEASE NOTE,NO <br /> TUMMS ID p�ET- <br /> Recommended Aetion <br /> Job Costlnformahon�YlN) <br /> ;,� �,,,,,�,j �y yyp� wenver+ oE�N � Date Completed eiu2o�a Permit No <br /> �,,;3rt Date i � iime � <br /> Time Follow Up <br /> �oleted By <br />