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Work Activity Work Order <br />ISSUG'CI By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 12/2/2015 <br />Fund ao� Account 5 Program ��o <br />Program <br />Title TEST .5 INCH 3326 ROCKEFELLER AVE 710119675 <br />�j� � � �' � � �1 � �� � � �'i� <br />Page 1 <br />7/18/2016 13:16 <br />Function 119 Activity s�5 <br />Work Order No 20152639 Project Activity Type CORRECTIVE MAINTENANCE <br />Status 12/8/2015 Time os:a� 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 />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 3326 Street ROCKEFELLER AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Change Map Y/N <br />Map Reference <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority <br />C rew <br />Contractor <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 Taken TEST .5 INCH DORMANT SERVICE. 1.35 CFM=10.1 GALLONS/MIN 65 PSI <br />Recommended Action <br />Date Requested <br />Related Request <br />Estimated Hours <br />Status c� <br />Approved By EAL ERICKSON, Arv�REw �. Job Cost Information(Y/N) <br />Start Date i i Time Date Completed �2iai2o�s Permit No <br />Completed By Time Follow Up? <br />