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Work Activity Work Order <br />Page 1 <br />5/17/20i4 11:36 <br />ISSU2d By SJi2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1I3I2014 <br />Fund eot Account 6 Program »o Fu�ction »g Activity 675 <br />Program <br />TIfIB REPAIR 75 INCH 126 94TH ST SE 710179675 <br />WOfk OfdEf NO Z��40�3Z Pf0)8Cl ACtlVlfy TypB CORRECTIVE MAINTENANCE S�BTJS CL <br />Status v3rzota Time u9.ae Original WO Billing <br />Customer Informatlon <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( 1 - Ext <br />Second Phone 1 ) - Ext <br />E-Mail Address <br />Problem Informatlon <br />Address �yg Street g4T'HSTSE <br />From Cross Streel <br />To Cross Slreel <br />City Zip <br />Subdivision Map Book Map Reference <br />Probiem WATER WATER <br />Sub Problem UTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utiiity Locate (USA) No Called Date Expiration Date <br />,�ssignment Intormallon <br />Dept Priority Estimated Hours <br />Crew <br />�ontractor <br />Assigned To <br />Assigned By <br />Assigned Date To E3e Comp Da,e <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />� <br />Action Taken R[PLACE .751NCH CURBSTOP WITH .751NCh SETTER, JUMPER AND BOX. CURBSTOP IS <br />[XSPOSED, CUSTOMER IS REPLACING TNEIR SIDE. <br />Recommended Action <br />Approved Dy yyDL �v�AveF� oenN � Job Cost Information(Y/N) <br />Slart Date � i Time Date Completed vanota Permit No <br />Completed By Time Follow Up9 <br />