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Issued By �w <br />Issued Department aw <br />Date Issued sizsnot2 <br />Fund ao� <br />Pro ram <br />Work Activity Work Order <br />WARD, MICIiAEL W. <br />PUBLIC WORKS <br />Page - <br />10/3/2012 8:46 <br />Account 5 Program »o Function »s Activity 664 <br />''dle SO 4 INCH FIRE 9930 EVEREGREEN WAY C, 71 01 1 9661 <br />WOfk Ofd2f NO 20 �21003 PfOJBCi Activity Type CORRECTIVE MAINTENANCE Si8tU5 CL <br />Status siz5rzot2 Time or5o Original WO Billing <br />Customer Information <br />Customer Name EPB BUILDING X LLC <br />Address <br />Apartmen't No <br />State <br />Subdivision <br />Phone No � � - <br />Second Phone ( � - <br />E-Mail Address <br />Problem Information <br />Address 9930 C <br />From Cross Street <br />To Cross Street <br />City <br />Sutdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utiliry Locate (USA) No <br />Assignment Information <br />Dept <br />CreK• <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street EVERGREEN WAY <br />Map Book <br />Calied Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken NEPTUNE METER #18918579421NSTALLED OFF. <br />Recommended Action <br />Approved By DDL DRASZT, DAVID L. <br />Start Date � � <br />Completed By _ <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Re'ference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority <br />Estimated hlours <br />Job Cost Informaticn(Y/N) <br />Time Date Completed ntsno�2 _ Permit No <br />Time Follow Up7 <br />