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� � �!��. ,�Q� <br /> Work Activity Work Order P�Ce 1 <br /> iz/is/zo�s s:�o <br /> ISSUBd BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ionz�2o�5 <br /> Fund aot Accounts Program �io Function �iy AcUvity G75 <br /> Program <br /> TiUO SO t INCH 5205 GLENWOOD AVE 710119675 <br /> Work Order No 2U152328 PfOJQCi Activity Type CORRECTIVE F:1nINTENANCE Sfc1L5 CL <br /> Status . �azu:oi5 Time �s3o Onginai Vd0 BdLnc <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Stree; <br /> Apartment No City <br /> State Zip <br /> Subdivision Change �/ap YiN <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 5205 Street GLENWOOD AVE <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book tvtan Rc`�rence <br /> Problem <br /> Sub Problem <br /> Requested By Date Reques;��,i <br /> Agency Re�ated Requ� z,� <br /> Irntiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimated Ho��r�-. <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _.__ __ To Be Comp Date <br /> Scheduled Date Scheduied Time __ <br /> Raute Route Sequence <br /> Comments <br /> Action Taken INSTALLED NEW i INCN SETTER,METER AND BOX.MANIFOLDEO OFF THE EXISTING 2" <br /> LINES THAT CAME OFF GLENWOOD.METER 51191569.RF 1471764627.NEPTUNE. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L. JOb COSI I�fOffil81iOt1(Y/N) <br /> Start Date i � Time Date Completed �oneno�s Permit No <br /> Compleled By Time Follow Up7 <br />