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a <br />Work Activity Wark Order <br />ISSUedBy WP.1W WARD,MICHA[LL7 <br />Issued Department Pw PUOLIC WORKS <br />Datelssued snanooe <br />Fund aot Acr.ount 5 Proyram �io Function t�� Activity G75 <br />Program <br />TItIC CONVEf21 �61G I101'T �1VE �10115675 <br />Work Order No 20Q80410 Projecl ActivityType coa�iE=�:rr�:r �.+��ir+iE�ir.uce Slatus c� <br />D'a�e t.�tal2ooa Tlme �7.�ts Original WO Diihn , <br />Customer Infonnalion <br />Customer Name <br />Address <br />Apartment No <br />Stale <br />S�.bdivision <br />Phone No � � <br />Second Phone � � <br />E-Mail Address <br />Prob!em Information <br />Addr��ss 3826 <br />From :;ross Slreet <br />To Cr� �ss Street <br />Ci,y <br />� ubdivision <br />Problem <br />Sub Problem <br />Requesled By <br />Agency <br />Iniliated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Conlractor <br />Assi�ned To <br />/�ssigned By <br />As;igned Dutc <br />Scheduled Dale <br />Ruute <br />Commmits <br />Sir�et <br />City <br />Zip <br />Ext <br />Fxt <br />Street ypyTllVE <br />(�4op B��o4: <br />Called Date <br />i o L'o Comp !),i�c <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Ch:�n��e M1.lnp Y1N <br />Zip <br />t:1�ip R�(crence <br />Dat�; Requestcd <br />Relaled Rrquest <br />Expiratio�i Dcile <br />Priorilv Estim:ded Flows <br />ACfl0f1 T3kCf1 METER N 87798S201NSTALLEO 30FT EAST OF 1HE NE CORNER OF THE NORTH IIUILDING. <br />Completed By Kr.t KELSO, T1106tns � Appro��ed By <br />Start Date � � Time Date Completed snaizaoa <br />Job Cost Information(Y/N) Follow Up? Permit No <br />Problem Details <br />SFR 382fi TORN DOWN SEVERAL YEARS AGO ALONG WITH 3830. <br />Time <br />RECQ�DS <br />J�JL o 12U�9 <br />