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Work Activity Work Order E',�n ' <br />z;isi�oii ia:s� <br />ISSUCd By SJT3 SPOONER, JAMES L � <br />Issued Departmenl rw PUBLIC WORKS <br />Date Issued vv�m�t <br />Fund qot Account s Proc,ram »o Function ��y Activity ��5 <br />Program <br />TitIB REPAIR JS INCH 501 75TH PL SW 710119675 <br />WOfk OfdLf NO 20110253 PfOfOCt ACtlVily TypO CORRECTIVE MAINTENANCE StetUS CL <br />Status v2eizoii Time oz2e Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) • Ext <br />Secand Phone ( ) • Ext <br />E-Mail Address <br />Problem Inlormation <br />Address 501 Street 75TH PL SW <br />From Cross Street <br />To Cross Street <br />Ciry Z;p <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem SO/TO SHUT OFF OR TURN ON <br />Requested By <br />Agency <br />Initiated From <br />Change Map Y/N <br />Map Reference <br />Date Requested <br />Related Request <br />Utdity Locate (USA) No Called Date Expiration Date <br />Assignment Informatian <br />Dept Priority Estimated Hours <br />Crew <br />Coniractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Takon REP�ACE .751NCH CURBSTOP WITH.751NCH 5[TTER, JUMPER AND BOX. <br />Recommended Actfon <br />Approved By HLJ HUSBV.LANC[J <br />Start Date i � Time <br />Completed By <br />J�b Cost Information(Y/N) <br />Date Completed v2s�2o� t Permit No <br />Time Follow Up7 <br />