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�c�rk f���s�Fi�}f �"ar€C C�rc��r ' <br /> -- --- --- -- — — — -- - <br /> ISS.:Z� By W�dW WARO, �NCHAEL W. <br /> ISSUEd DBpOR�Ttz�,�PW PUBLICN�ORKS <br /> Da;e Issued eiz9rzoia <br /> Fund aoi Aeco�nt s Program l�o FuneC,or. »y AcLve: eea <br /> Program <br /> Tltl� 50 i51NC;�i 55J' 9RD AVE SE LOT 9 710ll96�3 <br /> 'rJ�rk Order No 20132391 Project Acliv�ty Type coFRec�ivE�,niwrEN:,�:Ce S;atus ci <br /> Stalus e�.'e'2oi? T;me �2a: Origical 1R�0 So i32�5 B�U�n^ <br /> Custoner In`ormation <br /> Custcr,er Name Custener I 1 <br /> HdCrzss Street <br /> Aaar;me��t No ���)' <br /> S1ete Z'p <br /> Subdivision Ch�c�_c �.'.a[ 1" fi <br /> PhoneNo � � • t�� <br /> Szcond Phone � � - Ext - <br /> E-i�lail Add'ess <br /> Problem Information <br /> a"cress 9507 Street 3RD Al/E SE <br /> =rom Cross Strezt <br /> To Cross Slreet <br /> �i,y Z :> <br /> Subdiwsion Map Book iviap Retere�ce <br /> ��roblem <br /> Sub Problem <br /> Requested 8y Da:e f�.er.cast_ 1 <br /> Agency Relatec F�� �ues, <br /> Irohated From <br /> Ulihty Locate (USA) No Callzd Date ExpiraUon Date <br /> Assignment Information <br /> Dept Pr,ority Est:ma!ed Ficcrs <br /> Crew <br /> Contractor <br /> Assiqned Tc <br /> As;igned 6y � <br /> Assigned Datc To E3e Co:np D�te <br /> Scheduled Dafe Schedcle� Tin•o <br /> Roule Route Seq�.;arce <br /> Comments <br /> AC110I1 T2!(Cn INSTALL`cD NEPTUNE h1ETER :9Jd110JJ,RFk1B7184G1:�. 1YA7ER LOCKED OFF. <br /> Recammended Action <br /> AppfOVeC1 BY HW NUS�Y,LANCEJ. �Ob COSf I�fOf71BflDfljl"iN) <br /> ____— <br /> Start Date i i Time Date Completed vzanou Perma No <br /> --- - - - <br /> Com^Ietzd By --- - — - -. - Tu"e -- Fol;oei Up� r � � <br /> ' 4 I ,! <br /> �_�/ <br />