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Work Act�vity Work Order ' �°"� <br /> . . . , „ <br /> (SSUCd By MW HUSBV,LANCF J <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �mioizo�5 <br /> Fund �o� Account 5 Program »p Function »g Actwity 67s <br /> Program <br /> TtlIC REPLACE 7S INCN �J03 E CASiNO RD 7t01�9675 <br /> Work Order No 20151253 Pro�ect Ad�v�ry Type cor�aEcrive rnniNrer+nNcr StaNs a <br /> Status �o +orzo�s Time �354 Ongmal WO Bdhng <br /> Custamer Information <br /> Cus'omer Name Custcmer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdiwsion Change Map Y/N <br /> Phone No � � - Ext <br /> Second Phone � r • Exl <br /> E-Mad Address <br /> Problem Information <br /> Address 1303 Street E CASINO RD <br /> From Cross Street <br /> To Cross Streel <br /> City I�P <br /> Subdrvision Map Dook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested Dy Date Nequcsted <br /> Agency Relaled Re�ur�t <br /> Indiated From <br /> Uhi�ty Locate NSA) No Caued Date [xpiration Dale <br /> Assignment Iniormatlon <br /> Dept Pnordy Estimaled Hours <br /> Crew <br /> Contractor <br /> nssigned To <br /> Assigned Fiy <br /> Ass�gned Date To pe Comp Date <br /> Scheduled Date Stheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Actio� Taken REPLACE .751NCM GALV. SERVICE LINE WITH NEW 75 INCN IOOPSI POLV FROM MAIN TO <br /> SMUT�OFF,INSTALLE� NEW.751NCM SETTER WI7H METER AND BO%. OWNER REOUEST <br /> Recommended Action <br /> Approved Eiy EAL eRicKsoN.nNoa[w� Job Cost InformaUon�'r/N) <br /> Start Dale i i hme Date Completed �m�o�zo�s Permit Nc__ <br /> Campleted By Time Fo ow Up� <br />