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Work Activity Work Order <br />Fage 1 <br />4/28/2010 13:28 <br />ISSUBd By WMW WARD, MICHAEL W. <br />Issued Department pw PUBLIC WORKS <br />Date Issued anizo�o <br />Fund ao� Account s Program »o Function ��y Activity 664 <br />Program <br />TIIIB SO TWO INCH 1510 SE EVERETT MALL WAY 710119664 <br />WOfk Ofd@f NO Z��009�2 PfOj2Cf Activity Type CORRECTIVE MAINTENANCE St2tU5 CL <br />SfBIUS 4!1/2010 TIR10 10:01 Of191f181 WO 12949 Bllll�q <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone IJo ( <br />Second Phone ( <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross SUeet <br />To Cross Street <br />Ciry <br />Subdivision <br />f�roblem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contrector <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />) - Ext <br />) - Ext <br />Street <br />Map Book <br />Cailed Date <br />10 Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken NEPTUNE METER k60599876. 2" SERVICE. NOT A BILL JOB <br />Recommended Action <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Approved By BuM2 BEUKERS, GEORGE til. Job COSf Infof�T10ti0�(Y/N) <br />Start Date i � Time Date Completed anizo�o Permit No <br />Coinpleted By Time Follow Up? <br />� <br />