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Work Activity Work Order `�0e � <br /> sizsiz�!o !0:33 <br /> ISSU2d BY WMW WARD,MICHAEL W. <br /> Issued Deparlment Pw PUBLIC WORKS <br /> Dale Issued aie�2o�o <br /> Fund ao� Account 5 Program szo Funclion ��g Aclivity 676 <br /> Program <br /> Title REPLACE 6"METER 1127 SE EVERETT MALL 520119676 , <br /> WOfk O�dBf NO 20100675 PfOJBCf Activiry Type CORRECTIVE MAINTENANCE Sl81115 CL <br /> StaWs 3'&i2oie Time �e:s� Original W0 Billing ____ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subuivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext - — <br /> E-Mail Address <br /> Problem Information <br /> Address ��p� Street SE EVERETT MALL WAY <br /> From Cross Street <br /> 'io Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem CONSU CONSUMPTION <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept ?riority Eslimated Hours <br /> Crew <br /> Contractor <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 /> i Action Taken REMOVED OLD HFRSEY 6"METER AN�PUT IN NEW 6"PROTECTUS III WI PRO READ <br /> Recommended Action <br /> �pproved By BGM2 BEUKERS,GEORGE M. JOb COSf If1(Of�T18110f1(Y/N) <br /> —------ <br /> -- <br /> Start Dale � i Time Date Completed ano�2o�o ermit o <br /> _ _ - P� - _ -- — <br /> Completed By Time Follow U <br /> �3 <br />