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?ace 1 <br /> Work Activity Work Order 9,,�,,�_3 1�:5, <br /> --- __ <br /> -- - <br /> ISSUBd BY WMW � WARD,MICHAEI W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �vzo�zo�2 Activit <br /> Fund ao� Account 5 Program �io Function t�s Y 6fi4 <br /> Program <br /> TIIIB SO 7 INCH 6027 GLENWOOD AVE A8B 710119664 <br /> Work Order No 20122572 PfOJ2C� Activity Type CORRECTIVE MAINTENANCE SIB�US CL <br /> Status uizo�zoi2 Time ia:ai Original WO SU•tsns Billing_ _ __ _._ _____—_ <br /> Customer Information Customer ld <br /> Customer Name A AND V HOME IMPROVEMENT <br /> Address Slreet <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext _ _____— <br /> Second Phone ( 1 • Ext <br /> E-MailAddress — — -- --- <br /> Problem Information <br /> Address 6027 Street GLENWOOD AVE <br /> From Cross Sheet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem Date Requested <br /> Requested By Reiated Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> r,ssigned Date __ To Be Comp Date _ _ __ <br /> Scheduled Date __ Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED NEPTUNE METER k51002271,RF HI14709149521L0#1470914953 <br /> Recommended Action <br /> Approved By wo� wEAVER, DEnN�. Job Cost Information(YIN) <br /> Start Date i I Time __ Date Completed 3ns�zo�3 _ Permit No <br /> -- __. <br /> --- <br /> Completed By Time Follow Up. _ _ __ ___ <br />