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Issued By s,lT2 <br />Issued Department Pw <br />Date Issued Ti9no�a <br />Fund �at <br />Program <br />Work Activity Work Order <br />SPOONER, JAMES T. <br />PUBLIC WORKS <br />Page 1 <br />9/28/2014 12�14 <br />Account s Program �ta Function t+9 Activity 675 <br />Tifle REPAIR 751NCH 1929 75TH ST SE 710119675 <br />Work Order No 20142185 Project Aclivity Type SERVICE RE�UEST <br />Status 7/9R011 Time ism OriginalWO ___ Billing _ <br />Customer Iniormatfon <br />Customer Name SHEARER, MICHAEL <br />Address 1929 <br />Apariment No <br />State <br />Subdivision <br />Phone No ( e2s ) z9o•eot� <br />Second Phone ( 1 • <br />E-Mail Address <br />Problem Information <br />Address �gyg <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision <br />Problem WATER WATER <br />Sub Problem SO/TO SHUT OFF OR TURN ON <br />Requested By DRA DURRANT. ROGER A <br />Agency <br />Initiated From PUBLIC PueuC <br />UUlity Locate (USA) No <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To HLJ <br />Assigned By <br />Assigned Date __ _. <br />Sc�ieduled Date _ _ __ <br />Route <br />Commenta <br />Streel �srH sr se <br />City <br />Zip <br />Ext <br />Ext <br />Street 75TH S T SE <br />Map Book <br />Catled Date <br />HUSBY, LANCE J <br />To Be Ccmp Dale <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Change Map Y1N <br />Map Reference <br />Expirati�^ �ate <br />$lBtUS CL <br />Date Requested ��a�to�� <br />Relal?d Request oo�3teot <br />Priority Estimaled Hours <br />Action Taken REPLACE .761N�:H CURBSIOP WITH .76 INCH SETTER, JUMPER AN� BOX. <br />Recommended Action <br />Approved By wo� w�AVER, oFAN � Job Cost Inforrtation(Y/N) <br />Start Date � i _ Time __ _ Date Compleled nsizo��_ <br />Completed By -- ----- -_-- Time ---- Follow Up? -- <br />Permd No <br />