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� <br />Work Activity Work Order <br />Page � <br />i�����zoi: e:o<. <br />Issued By WMW WARD, MICHAEL W. <br />Issued Departmenl Pw PUBLIC WORKS <br />Date Issued ensizo�i <br />Fund ao� Account s Program �io Function »y Activiry 664 <br />Program <br />Tltl� 50.751NCH SFR 92054TH AVE W 710119664 <br />WOfk OfdBf NO 2���2300 PfOJ2C1 ACliVlty TyN2 CORRECTIVE MAINTENANCE St2tuS CL <br />Status snsizot� Time �aoz Of191f181 WO 13115 Billing <br />Custorner Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No l � • Ext <br />Second Phone ( 1 - Ext <br />E-Mail Address <br />Problem Information <br />Address 9205 Street 4TH AVE W <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Aoency <br />Initiated From <br />Utility Locate ;USA) No Called Date <br />Assignment Information <br />Customer ld <br />Change Map Y/N <br />Zip <br />A1ap ReFerence <br />Date Requested <br />Related Request <br />Expiration Date <br />Dept Priority <br />Crew <br />Contractor <br />Assigned To <br />Assigned By To Be Comp Date <br />Assigned Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken NEPTUNE METER NdOG02864 INSTALLED ON. RF#1837855J72 <br />Recommended Action <br />Approved By HLJ HUSBY,LANCEJ. <br />Start Date � � Time <br />Completed By <br />Estimaled Hours <br />� ,.-,-�;, ��. <br />> �'i,�.i��l � <br />Job Costlnformation(Y/N) <br />Date Completed �2izzna�� <br />Time Follow Up? <br />Permil No <br />1 <br />I.`. <br />,� � <br />�' � <br />