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Work Activity Wark Order <br />� <br />� „,,. � <br />a��: :�;, . <br />ISSUCd I3y WMW WARD, MICHAEL W. <br />Issued Deparlment Pw PUDUC WORKS <br />Datc Issuad 2ivnooe <br />Fund ao� AccouM s Proc�ram »o Function »9 Aclivity 6�5 <br />Program <br />TiIIB COIJVERT 6625 BEVERLV BLVD 710119675 <br />Work Order No 7.0060232 Project Activity Type coaitecnve MnwT�Nnr�ce Slalus c� <br />Date ziznzooe Time�.5:ie Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Aparlment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone Na 1 I- Exl <br />Second Phone ( 1 - Exl <br />E-Mail Address <br />�roblem intormation <br />Address 6625 Street BEVERLYBLVD <br />From Cross Street <br />To Cross Sireet <br />CitY Zip <br />Subdivision Map Book <br />Pro6lem <br />Sub Problem <br />Requested By <br />Agency <br />Initialed From <br />Map Re(erence <br />Date Requesled <br />Relaled Request <br />Utddy Locate (USA) No Called Date Explralion Date <br />Assignment Information <br />Depl Priority Estimaled Hours <br />Crew <br />Conlrector <br />Assigned 70 <br />Assigned By <br />Assigned Dale To Be .;omp Da�e <br />Scheduled Date Scheduled Time <br />Route Roule Sequence <br />Comments <br />ACtlOfl TakCtl METERp 810955191NSTALLED IN DRIVEWAY 5' LEFT OF RIGHT AND 46' OUT. <br />Completed By KTJ <br />Slart Uate � <br />Approved E3y <br />Problem Details <br />KELSO, THOMAS J. <br />I Time <br />Job Cost In(ormalion(Y/N) <br />Date Completed 318I2006 <br />Follow Up? Permil No <br />Time <br />