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� <br /> Work Activity Work Order <br /> Issued 6y KTJ KELSO,THOMAS J. <br /> Issued Department rw PUBLIC WORKS <br /> Datc Issued �o�zeiz000 <br /> Fund aot Account 5 Program »o Function ue Acli�aty 675 <br /> Program <br /> Ti�IC TEST"7.411 P.IAPLE ST 710119675 <br /> Work Order No 20080978 Projecl Aclivdy Type coititEc,iivE_t.i�vut Eru.nce St:d�i, c� <br /> StaWs iorz��zoua T�,ne t2:3� Original WO Biiling <br /> Customcr Infomialion <br /> Cuslomer Name Customer ld , <br /> Address Street <br /> Apartmenl No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l 1 - E::l <br /> Second Phone ( 1 • Exl <br /> [-Mail Address <br /> Problem In(ormation <br /> Address yq f� SUeet MAPLE ST <br /> from Cross Slreet <br /> To Cross Slrer,l <br /> City Zip <br /> Subdivision A1ap t3ook Map Reference <br /> Problem <br /> Sub Problem <br /> Requcsled By Date Fequested <br /> Agency Related Request <br /> Iniliated From <br /> Utility Locale (USA) No Called Dale Expiralion Date <br /> Assignment Information <br /> Depl Priority Estimaled Hours <br /> Crew <br /> Contraclor <br /> Assi�ned To <br /> l�ssigned By <br /> �ssigned Dale To Be Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Roule Route Sequence <br /> Conunents <br /> Action Taken G4 PSI S 44.5 GPM.OK FOR US[.METER#47908G15 <br /> Recommended Action <br /> Approved By HLJ HUS�I'. LANC[J. JOb COSt In(O�ttlOtio�(Y/N) <br /> Stait Date � r Time Date Compleled tti�izooe Pennit No <br /> Completed Dy Tnne Follow Up7 <br />