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Work Activity Work Order pa9e 1 <br /> 11/16/2011 9:11 <br /> ISSUBd By WMW � WARD,MICHAEL W. <br /> Issued Gepartment aw PUBLIC WORKS <br /> Date Issued s�z3l2ot1 <br /> Fund aot Account s Program �to Function tte Activiry sw <br /> Program <br /> Title 50 1 INCH IRR 4625 COLLEGE AVE 710119664 <br /> WOfk OfdBf NO 20112323 PfOj0C1 ACIIVI�I Type CORRECTIVE MAINTENANCE Sf8IU5 CL <br /> Status sn3izo�� Time ta:3� OriginalWO �ain __E3iiling <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> S;ate Z�P <br /> Sul�division Change Map YIN <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 4625 Street COLLEGE AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z'P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Probtem <br /> Requested By Da;�Requested <br /> Agency Related Request <br /> Iniliated From <br /> Utiliry Locate (USA) ho Called Date Expiration Date <br /> Assignment Informatic�n <br /> Dept Priority Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken � INCH IRR NEPTUNE METER A49961607 RFM14711474441NSTALLED ON <br /> Recommended Action <br /> Approved By HLJ HUSBY, LANCE J. JOb COSi If7f0�R18ilOf1(YIN) <br /> Start Date i i Time Date Completed ei3o�2o�t Permit No <br /> Compieted By Time Follow Up? _ __ - <br /> , � <br /> , jl% i <br /> � � <br />