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Work Activity Work Order ' °" <br /> .. � . . , . <br /> ISSUCd By SJ72 SPOONER,JAMEST <br /> Issued Departmentpw PUBLICWORKS <br /> Date Issued mono�s <br /> Fund aot Accounl 5 Proo�am ��o Funcbon >>9 Act�vity 66a <br /> Program <br /> Tllle SO ;5 INC'1 I'1 i E CASINO RD 110119f64 <br /> Work O�der No 20151633 Pro�ed Acbv�ry Type co�aecn�E r.�nir�reNn�ice Status c� <br /> S�atus �201ctb T�rre o� a? Or g�nal VVO Billing <br /> Customer Information <br /> Customer Na^�e Custorner Itl <br /> Address Slreet <br /> Apartment No Gty <br /> Slate Zip <br /> Subd�ws�on Change Map Y!N <br /> Phone No � � • Ext <br /> Second Phone � � • Ext <br /> E-Ma�l Address <br /> Problem Information <br /> Address 1117 Street ECAS/NORD <br /> From Cross Street <br /> To Grass Stree; <br /> Ci'y Lp <br /> Subdiv�s�on Map Book Map Reference <br /> Piobtem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> lllihry Locate �USA) No Called Date Exp�ration Dale <br /> Assignment Information <br /> Dept Pnon�y Estima,cd Hou�s <br /> Crew <br /> Conlractor <br /> Assigned 70 <br /> Assigned By <br /> Assigned Dale __ _ To �e Comp Date <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED 200 P51.751NCH POLV T0.751NCN SETTER WITH METER � BOX. <br /> MEiER NO 68400000. Rf NO 1B5)069522. NEPTUNE.OFFlLOCNED OUT. <br /> Recommended Action <br /> Approve0 By wDl WEAv[R. D[AN L Job Cost Information�Y/N) <br /> Slart Date i � Time Date Compleied �onarzots Permit No <br /> Completed By Time Follow Up� <br />