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Work Activity �'+lork Order p1�° ' <br /> ii/a/zois ii :oo <br /> Issued By WDL WEAVER,DEAN L. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued amno�s <br /> Fund aoi Account s Program ;to Function �iy Activiry e�s <br /> Program <br /> TIIIQ R[PAIR ]S INCH 4613 GLENWOOD AVE 710119675 <br /> Work Order No 20151658 Project Ac6viry Type SERVICF R[DU[ST Status c� <br /> Status emizois Time ce ie Original WO _ Billing <br /> Customer Iniormation <br /> Customer Name Cusiomer ld <br /> Address q677 $1f221 GLENWOOD AVE <br /> Apartment No City <br /> Stale Zip <br /> Subdivision Change Map 1'IN <br /> Phone No ( ) - Ext <br /> Second Phone l 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> ------ --. _ ___ _--- <br /> Address 4613 Street GCENWOOD AVE <br /> From Cross Street <br /> To Cioss Street <br /> City Zip <br /> Sui division Map Book hlap Re�erence <br /> Problem WATER WATER <br /> Sub Problem <br /> Requested By SJT SKAGEN,JEFFREY T Dale Requested BI1612075 <br /> Agency Related Requesi oo�u�sa <br /> Initiated From PUBLIC PUBLIC <br /> UtiGt� Locate (USA) No Called Date Expiration Oate <br /> Assignment Intormation <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To WOL WEAVER.DE�N L. <br /> Assigned By <br /> Assigned Dale _ ,_ To Be Comp Da1e _ <br /> 0 <br /> Scheduled Date Scheduled Time 1.1 <br /> Route Route Sequence �"� ��' ;�';-t ; �i <br /> Comments � ' y�' ., „ <br /> Action 1'aken R[PLACED ROTTED SADDLE ON MAIN. <br /> Recommended Action <br /> Approved By HW Husev, LnNCE� Job Cost Information(YIN) <br /> Start Dale � i Time __ Date Completed aneno�s Permit No <br /> — — - -- ---- ------ <br /> Completed By _ _ Time _ Follow Up?_ <br />