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Work Activity Work Order � . <br /> ISSU2d By WMW WARD, MICHAEL W. <br /> Issued DepartmentPw PUBLIC WORKS <br /> Date Issued 112 812 0 0 8 <br /> Fund 40� Account 5 Prograrn »o Function >» Activity �» <br /> Program <br /> Tille REPAIR 2507 JACKSON AVE 770N9677 <br /> Work Order No 20080084 Project Aci�vity Type seRvice Reauesr Status PR <br /> Dale v2anoos Time i5:2� Original WO Billing <br /> Customer Information <br /> Cuslomer Name ciTlzeN Customer ld <br /> Address Slreet <br /> Apartment No �ily <br /> Slate Zip sezo3 <br /> Subdivision Change Map Y/N <br /> Phone No l ) - Exl <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 250� Street JACKSON�IVE <br /> From Cross Street <br /> To Cross Street <br /> Cl:y Zj�J 98203 <br /> Subdivision Map Book Map Reference <br /> Problein WATER WATER <br /> Sub Problem HYDRA HYDRANTS <br /> Requested By SJT SKAGEN,JEFFREY T. DBI� Re(�UCSICd V2fi12008 <br /> Agency Relaled Request 0005ases <br /> Initiated From PUBLIC PUBUC <br /> Utility Locate (USA) No Called Dale Expiralion Dale <br /> Assignment Informat�on <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To WMW WARD.MICHAEL NJ. <br /> A,siyned By <br /> Assigned Date vZsizooa To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> r <br /> Action Taken VICTOM`AF HIT AND RUk.BA04',U NOT PPRE NDED. SEE P LICE R7F�-PORT 08-2000, <br /> ATTACHED. ������ ���t-t�f2'GJI�t.Lb (y��`tL.tin:i��•-N��� <br /> �� <br /> Compleled F3y � ��'"^�'�� Approved By ✓ <br /> Start Date �� Time Date Completed 1 i��� �;{' Time <br /> Job Cost Information(Y/N) Follow Up? Permit No <br /> Problmn Details <br />