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u <br />Work Activity Work Order <br />Page � <br />9/28/2014 11:05 <br />ISSU2d By WMW WARD, MICHAEL W. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 512 212 01 4 <br />Fund ao� Account s Program »o Function »y Aciivity sea <br />Program <br />Titl2 SO 751NCH 1317 �JADRONAAVE i10119664 <br />Wark Order No 20�4� �96 Project Activiry Type CORRECTNE I�tAINTENANCE SIBiUS CL <br />Status 52zizoia Time iass O�19if181 WO SO-13295 Billing _ <br />Customer Information <br />Cusiomer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No � 1 <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address i31� <br />From Cross Streel <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utillty Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contracror <br />Assigned To <br />Assigned By <br />Assigned Dale <br />Scheduled Date ___ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street MADRONA AVE <br />Nap Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken INSTALLEG METER k94023419, RF1850412999. WATER ON. <br />Recommended Ar,fion <br />Customer ld <br />Chanoe Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Approved By wo� wenvER, o�+N �. Job Cost Iniormalion(YIN) <br />Start Date � � Time Date Completed sizvzota <br />Completed By _ _ Time __ Follow Up? <br />Permit No <br />a �y <br />