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Pa9e i <br /> Work Activity Work Order 3/15/2013 14:27 <br /> ISS�Bd By SJT2 SPOONER,JAMES T. <br /> Issued Deparlment vv. PUBLIC WOPKS <br /> pate Issued veno�s Account s Program »o Function �te Activity 875 <br /> Fund aot <br /> Program <br /> TiIIC REPAIR 75�NCH 422 104TH ST 5[710119675 <br /> 20130159 PfOJ2Cf ACUvlty Type CORRECTNE MAINTENANCE Sl8lU5 CL <br /> Work Order No Billing <br /> Status verzo�s Time �s ao Original WO <br /> Customer Informatfon Cu�tnmer ld <br /> Customer Name Street <br /> Address Ciry <br /> Apartment No ZiP <br /> State Change Map YIN <br /> Subdivision Exl <br /> Phone No � � ' <br /> Second Phone 1 1 - Ext <br /> E-Mail Address <br /> Probiem Iniormation Street �09TH ST SE <br /> AddrPss 422 <br /> From Cr_�Qe� <br /> 1'o Cro__ss Slree� Zip <br /> Ciry Map Book Map Reference <br /> Subdivision <br /> Problem WA7ER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Ayency <br /> Initiated From Called Date Expiration Dale <br /> Utility Locate (USA) !vo <br /> Assignment Information Pnority Eslimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assgned Tu <br /> Assigned By To Be Gomp Uate <br /> Assigned Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INCH SETTCR WI�JUMPER AND BOX AT SAME TIME,REPLACE .751NCH CURBSTOP WITH.75 <br /> Recommended Action <br /> Job Cost Information(YIN) <br /> Ap�.fOVzd By WDL WEAVER. DEAN L. PeffTlll NO <br /> � Time Date Completed venou <br /> Start Date � Time Follow Up? <br /> CampletFd By <br />