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�'�lork Activity Work OrdQr Page 1 <br /> 10/30/2013 15:54 <br /> ISSUed By WMW WARD,MICHAEL W. <br /> Issued Department <br /> Date Issued eizeno�a Activi <br /> Fund ao� Account s Progrc �i �to Function tt9 �`/ 664 <br /> Progrem <br /> TItIE S0.75 INCH 9505;RD AVE SE LUTB 710115664 <br /> Work Order No 20132390 PfOJ2C� ACiIVII�I Type CORRECTIVE MAINTENANCE S13�U5 CL <br /> S�8fU5 82912013 Time i2:az �fl If181�/V� SO-i3221 __ Bllllfl9 ___ _____ _ ____ ______-- <br /> -- -9— --- --- <br /> Customer Information <br /> Customer N2me Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext ----- -- -- -- — <br /> Second Phone ( ) - Ext <br /> E-Mail Address __ _._—--— - ---- <br /> Problem Information <br /> Address 9505 Street 3RD A VE SE <br /> From Cross Streel <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map f3ook Map Reference <br /> Problem - <br /> Sub Problem <br /> Reques!ed By Date Requested <br /> Agency <br /> Related Request <br /> Iniliated From <br /> Utility Locate (US.A) No Called Date Expiration Date <br /> Assignment Inforrnation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To 6e Comp Date <br /> Scheduled Date _ ScheaWed Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLEO METER p97411009,RF#1834861468. WATER LOCKED OFF. <br /> Recommended Action <br /> Approved dy HLJ HUSBY,LANCE J. JOb COSI If1f0�fllallOfl� � <br /> Start Date r i Tirt�2 Date Completed sizsim�a_ ____ <br /> Permit No <br /> Campleted By Time _ Follow Up? _ _ _ _ _ <br />