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Work Activity Work Order Pa9e 1 <br /> iizeizoia io:os <br /> ISSU2d By CAG CRUM,GERRY <br /> Issued Department Pw PUBLIG WORKS <br /> Date Issued toia�zooe <br /> Fund ao� Account s Program »o Function i�s Activity sca <br /> Program <br /> Title SO.75 INCH 10123 MERIDIAN AVE#LOT 2 710719664 . <br /> Work Order No 2��6�465 PfOjBCt Activity Type CORRECTIVE MAIN7ENANCE SIa�US PR <br /> Status �or3nooe Time o�:aa Original WO Biiling ___ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Slate Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - E� <br /> E-Mail Address <br /> Problem Information <br /> Address �p�P3 Street MERlD/AN AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reterence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date _ _ <br /> Scheduied Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Take� NEW.751NCH POLY SERVICE FROM MAIN TO PROPERTY LINE WITH .751NCH SETER,METER <br /> AND BOX.USED APROX.35 FEET OF POLY PIPE <br /> Recommended Action <br /> Approved By Job Costlnformation(YIN) <br /> Start Date i i Time Dale Compleled � i Z � z��«-J Permit No <br /> Completed By �A� � L � 69 Time __ Follow Up? �� � <br /> �� <br />