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�� ��� •� .���� .;♦ <br />Work Activity Work Order Page 1 <br />7/18/2016 12:54 <br />ISSU2d By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 12/28/2015 <br />Fund ao� Account 5 Program ��o Function ��s Activity s�s <br />P rog ram <br />Title TEST .5 INCH 2307 WETMORE AVE 710119675 <br />Work Order No 20152789 Project Activity Type CORRECTIVE MAINTENANCE St2tUS CL <br />Status 12/28/2015 Time o�:3s Original WO Billing <br />Customer Information <br />Customer Name <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 2307 Street yyETMOREA <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision M <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />Crew <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. 21GPM/65PSI <br />Recommended Action <br />Approved By FBL FISHER, BOBBY L. <br />Start Date i � Time <br />Completed By <br />Customer ld <br />Change Map Y/N <br />VE <br />Zip <br />ap Book Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Information(Y/N) <br />Date Completed �2i2sizo�5 Permit No <br />- __ _ _ --- <br />Time Follow Up? <br />