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Work Activity Work Order Pa9e 1 <br />10/3/2012 11:18 <br />ISSU@d By SJT7 SPOONER, JAMES T. <br />Issued Department rw PUBLIC WORKS <br />Date lssued en�nott <br />Fund �ot Account s Program tto Function »s Activity e�s <br />Program <br />TIII@ REPAIR 75 INCH 214 97TH PL SE 710119675 <br />WOfk OfdBf NO ZO�Z�864 Project Activity Type CORRECTIVE MAINTENANCE SI81US CL <br />Status aizeizo�z Time �aoz Original WO Bitling _ _ <br />Customer Iniormatlon <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No � � <br />Second Phone � � <br />E-Mail Address <br />Problem Iniormatlon <br />Addres§ 214 <br />From Cross Slreet <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />S ree g�TH PL SE <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />UtiDry Locate (USA) No <br />Asalgnment Informatlon <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled D2te <br />Roule <br />Comments <br />Map Book <br />Called Dale <br />?o Be Comp Date <br />Scheduled Time <br />Raute Sequence <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Eslimated Hours <br />Actlon Taken LOOKING FOR SIO FOR 230 FOUND 211'S FIRST. WILL REPLACE .761NCH CURBSTOP WITH <br />.761NCM SETTER, JUMPER AND BO%. <br />Recommended Actlon <br />Approved By so, s+nrH. onvi� G. Job Cost Information(Y/N)_ <br />Start Date i i Time Date Completed enu2ot2 Permit No __ <br />Completed By Time Follow Up? <br />