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Work Activity Work Order pa9e 1 <br /> S�i��zoi4 9:5a <br /> ISSUBd By CAG ' CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 1 01312 0 0 6 <br /> Fund ao� Acc�unt s Program »o Function t1e Activity sca <br /> Program <br /> Tille SO.75 INCH 10723 MERIDIAN AVE xLOT 2 710119664 <br /> Work Onier No 20061465 PfOj@Ct Activity Type CORRECTIVE MAINTENANCE S�BtUS CL <br /> Status 1 01312 0 0 6 Time oraa Original WO �__ Billing ____ ___ <br /> Customer Inionnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y!N <br /> Phone No ( ) • Ext <br /> Second Phone ( ) - Ext - <br /> E-Mail Address <br /> Problem Iniormation <br /> Address �01Y3 Street MERIDIANAVE <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map ReFerence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Calied Date Expiration Date <br /> Assignment Information <br /> Oepl Priority [slimaled Hours <br /> Crew <br /> Contractor <br /> Assigned io <br /> Assigned By <br /> Assigned Date _ __ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Y Route Sequence <br /> Comments <br /> Action Taken NEW.75 INCH POLY SERVICE FROM MAIN TO PROPERTY IINE WITH.75 INCH SETER, METER <br /> AND BOX. USED APROX. 35 FEET OF POLY PIPE. INSTALL METER N93821622, <br /> RF#1850266642.WATER ON. <br /> Recommended Action <br /> Approved By wo� wEnvER,oEnN L. Job Cost Information(YIN) <br /> --- --- . _. _ <br /> Start Date � � Time Date Completed utai2o�a Permit No' ` ` <br /> ;`;��';� <br /> �_ ..- <br />