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. • �l�.i. .�0�` <br /> Work Activity Work Order ra�E ' <br /> i��ier_ois a:�i <br /> Iss�ed By SJT2 SPOONER,JAME° T. <br /> ISSUEtl Department Pw PUBL�C WORKS <br /> Date Issuecl io�zvzo�s <br /> Fund aot Account 5 Program ��o Function »y Acliviry ars <br /> Program <br /> TiIIE SO t IYCH 5201 GLENVJO00 AVE 710119675 <br /> VVork Order No 20152327 P�OjOCt ACfivity Typ@ CORRECTIVE 1�1AWTENANCE SI3L.S CL <br /> Statu_ to�zzrzots Time �5 z: Original VJ0 Bi:linq _ <br /> Customer Information <br /> Customer Name Cus;omer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivis;�n Change Map Y/N <br /> Phone No ( ) • Ezi <br /> Second Phone ( ) • Ext — — — -- --- - -" <br /> E-Mail Address <br /> - - - - - - -- -- - _ - <br /> Problem Information <br /> Address Spp� Street GLENWOOD AVE <br /> From Cross Street <br /> To Cross Streel <br /> City ZiP <br /> Subdivision Map Book Map Re'erence <br /> Problem <br /> Sub Problem <br /> Requested By Datc R�quested <br /> Agency Related Request <br /> Inihated From <br /> Utiliry l.ocate (USA) No Called Dale Expiralion Date <br /> Assignment Information <br /> Dept Prionty Estimated Hours <br /> Crew <br /> ContraCtor <br /> Assigned To <br /> Assigned t3y <br /> Assigned Date ____ To Be Comp Date <br /> Scneduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED NEW 1 IhCH SETTER,METER AND BOX. MANIFOLDED OFF THE EXISTING 2" <br /> IINES THAT CAMG OFF GL[NWOOD. METER NO 51191570.RF 1471726G71 NEPTUNE. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L. JOb COSt In(Otmat!0�1(Y!N) <br /> Start Date r � Time Date Completed �oizsizo�s Permit No <br /> - -- — _ --- -- -- - <br /> Completed By Time _ Follow Up?__ __ _ _ <br />