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Work Activity Work Order <br />a <br />icir�z c� :z:�e <br />ISSUCd By MWE MOORE, WARREN E. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued arzorzoos <br />Fund 40� Accounts Piogram »o Functior� >>y I+ctivity b;s <br />Program <br />Title REPAIR76008ROADWAY 7701�967, <br />Work Order No 2009048Z PfOfOCI Activity Type CORRECTIVE MAINTENAWL� 518 uS CL <br />Sialll5 4/2Z2009 TVll2 13:56 Original WO 8illing <br />Customer In`ormation <br />Cusromer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � 1 <br />Second Phone ( > <br />E•Mail Address <br />Problem Infarmation <br />Address 7600 <br />From Cross Street <br />To Cross Street <br />C'rfy <br />SubAivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initialed From <br />Utility locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />ConVactor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date __ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Exl <br />Ext <br />Street BROADWAY <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken INSTALLED NEW 3l4" SERVICE , WITI1 METER. <br />Recommendec ,\ction <br />Approved By MWE MOORE, VJARREN E. <br />Start Dale ! � Time <br />_ . _- <br />Completed By <br />Customer ld <br />Change Map YiN <br />Zip <br />Map Reference <br />Date Requested <br />Relafed Reqcest <br />Expiration Date <br />Priority Estimated Hours <br />Job Costlnformation(YIN) <br />Date Compleled anvzoos <br />Time Follow Up? <br />Permit No <br />