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Work Activi�`y I��/ork Qrder page 1 <br /> 9/28/2014 10:54 <br /> ISSuOd By WNIW WARD,MICHAEI W. <br /> Issued Department vw PUBLIC WORKS <br /> Date Issued 519/2014 <br /> Fund aot Account s Program »o Function ��y Activity 661 <br /> Program <br /> TI�IO SO.751NCH 3128 A BROA�WAY 710119664 <br /> WOfk Ofdef No ZO�4��29 PfOJOCt ACtiVlhl TypB CORRECTIVE MAINTENANCE St8tU5 CL <br /> Status s�sizo�a Time ia:sa Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( > - Ext <br /> Second Phone ( > - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 31P8 q Street gROADWAY <br /> From 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 /> Utility Locate(USA) �'o Called Date Expiration Date <br /> Assignment InFormatic.i <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assi�ned To <br /> A55•;':_� By <br /> Assigned Date To Be Comp Date _ _ _ <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALIED METER k94023359,RF 1850473745,WATER OH. PLEASE NOTE ACCOUNT, <br /> METERS FOR A,B S C ARE IN THE SAME METER BOX. ' <br /> Recommended Action <br /> Approved By w�� w�+veR,oenN�. Job Cost Information(YIN) <br /> Start Date � � Time Date Completed erzuaota Permit No <br /> � Compieted By Time _ Foilow Up? <br />