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,�° � ��,��'�� �����:�,� <br /> 1fVork Activity �JV�rk O�rd�r ` "' ' <br /> , _2i�eih , .59 <br /> Issued By SJT2 SPUONER,JAMFS T. <br /> Issued DepartmentPw PU�LI.:WORKS <br /> Dale Issued 413/2015 <br /> Fund ao� Account 5 Frogram »o Function i�y Activity s�s <br /> Program <br /> T1118 TEST 1 INCH 10910 HOLLY DR 710ll9675 <br /> `Nork Order No 20150847 Project Activity Type CORREC i IVE t.tnwTeN,�nce Status c� <br /> Status ai3nat5 Time os i3 Original WO zoisossi _ Billing _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) - Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address �pg�p Slreet HOLLYDR <br /> From Cross Street <br /> To Cross Stree[ <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> UUlity Locate (USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Dept Priorily Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ __ __ To Be Comp Dale <br /> Scheduled Dale Scheduled Time ____ <br /> Route Route Sequence <br /> Comments <br /> Action Taken pID FLOW TEST AND PSI ON 1 INCH DORMANT SERVICE.40 GPM,75 PSI.TEST FEE HAS <br /> BEEN PAID. <br /> Recommended Action <br /> Approved By wo� WEAVER, DEAN L JOb COS( I�fOftTlatiOfl(YIN) <br /> Start Date � i Time Date Completed a�v2ots __ Permit No <br /> Completed By Time Follow Up7 <br />,f,�q"�__ .._ - . _,..- . _. __ _:,.�a.,,q�r�+e.... - �quqar.r� ., "'�wm�.- ., <br /> ._ . . �, ,.�*,'. <br /> c....i�eee ��,�.'�.�� . ' '444'�A��i.,r.., :.,�.. . . . . _ ' ...:.r.� \ �9c� . �� -s� ..i+'a n �yy�.. <br />