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Work Activity Work Order Yd9e 1 <br />8/3/2005 �15:12 <br />Issued By WMW WARD, MICHAEL W. <br />Issued Department aw PUBLIC WORKS <br />Date Issued B1317005 <br />Fund ao� Account s Program »o Functior »y Activity s�a <br />Program <br />TIfl2 CONVERT 6806 BEVERLY BLVD 710119fi15 <br />Work Order No 20050755 PfOJ2C� Activity Type CORRECTIVE MAINTENANCE Sie�US PR <br />Date 8/3/2005 Timet5:o5 Original WO Billing <br />Customer Iniormation <br />Customer Name Customer ld <br />Address Str �et <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No c 1- Ext <br />Second Phone ( ) - Ext - — — — <br />E-Mail Address <br />Problem Information <br />- — _ _ __ _----- <br />Address 6806 Street BEVERLYBLVD <br />Fmm Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem <br />Sub Problem <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Util�ry Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned By RECORDS <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />SEP 2 9 2005 <br />Route Route Sequence <br />Comments <br />Action Taken THIS SERVICE IS NOW ASSIGNED TO 6810 �EVERLY BLVODUE TO SHORT PLAT AND NEW <br />CONSTRUCTION SETTER WITH NO METER INSTALLED. MONEY OWING ON <br />THIS ACCOUNT. <br />� / <br />Completed By ��,/� (,v�.OL�L�s! Job Cost Information YIN) _ _ <br />Start Date i � Time Date Completed ���� �' Time <br />Appr ;ved By Follow Up? Permit No <br />