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Work Activity Work Order pe9e 1 <br />6/25/2012 15:19 <br />ISSUCd By SJTi � SPOONER, JAMES T. <br />Issued Uepartment aw PUBLIC WORKS <br />Date Issued ennot2 <br />Fund 4at Account s Program �ta Funclion »s Activity s�a <br />Program <br />Title REPAIR 4 INCH 35 115TH ST SE 710119877 <br />Work Order No ZOiZO%Z9 Project Activity Type CORRECTIVE MAINTENANCE Sl8tU3 CL <br />StaWs eni2o�z Time �505 Original WO_ Billing_ ____ _ <br />Customer Intormatlon <br />Customer Name Cuslomer ld <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision Change Map YIN <br />Phone No f ) - Ext - _ _ <br />Second Phone l ) • Ext <br />E-Mail Address _ . _ — -- ----- <br />Problem Information <br />Address 35 �Qe 115TH ST SE <br />From Cross Street <br />To Cross Street <br />City Z�P <br />Subdivision Map Book tAap Reference <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utiliry Locate (USA) No Called Date Expiration Date <br />Asalgnment Informatlon <br />Dept Priority Estimated Hours <br />Crew <br />Contracror <br />Assigned To <br />Assigned By <br />Assi9ned Date To Be Comp Uate <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Commenta <br />Actlon Taken LINEAL CRACK ON 4 INCH C.I. MAIN. CUT OUT 6 FEET OF OLD MAIN AND PUT IN 6 FEET <br />OF � INCH D.I. PIPE ANO TWO � INCH COUPLINOS. <br />Recommended Actlon <br />Approved By soc3 SMITH, DAVID G. JOb COS� 111i0RT18ilOf1(YIN) _ <br />Start Date i � Permit No <br />Time Date Completed av2o��_ _ _ ___ _ <br />Completed By Time Foilow Up7 <br />