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Vl�o�k l�c�6vi�y 1049ork Ordes� Page 1 <br /> 10/30/2013 15:48 <br /> Issued By WMW WARO,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued eiz9no�s <br /> Fund ao� Account 5 Program �to Function »y Activity 66a <br /> Program <br /> Title SO.751NCH 9417 3RD AVE SE LOT 2 71G719664 <br /> WOfk Ofdef NO 20132382 PfOjOCf Activity Type CORRECTIVE MAINTENANCE S181U5 CL <br /> Status 8/29/2013 Time �z:ia Original VYO so-i3zie Billing <br /> C�stomer Iniormation <br /> Customer Name Customer ld <br /> Address Street � <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y!N <br /> Phone No c ) - Exc <br /> Second Phone ( ) • Ext — — <br /> E-Mail Address <br /> Problem Information <br /> Address gq�7 Street 3RD AVE SE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Sub�ivision 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 Called Date Expiration Date <br /> Assignmant Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By • <br /> Assigned Date __ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTAlLEO NEPTUNE METER p9J411015,RF p187C857767. WATER OFF. <br /> Recommended Action <br /> Approved By mwe MOORE,WARREN E. JOb COSt Ifl(Ofinefi0�(Y/N) <br /> Start Date r � Time Date Completed iaa�io�a Permit No <br /> Completed By Time Follo•.v Up? <br /> — — ni� <br /> (� <br />