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w <br />Work Activity Work Order <br />Page 1 <br />,izei�c � ii:;� <br />ISSUEd By WMW WARD, MICHAEL W. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued snn2o�� <br />Fund ao� Account s Program �to Function »y Activity esa <br />Program <br />TIIIQ 50 NEW 3!4" SVC 9831 4TH AVE W UNIT 4 710119664 <br />VJork Order No 20110961 PfOJ0C1 Activity Type CORRECTIVE MAINTENANCE Sf2fU5 CL <br />Status e�2nzoi� Time o9zz Original WO Billing <br />Customer Information <br />Customer Name Cuslomer ld <br />Address Slreet <br />Aparlment No City <br />Slate Z�P <br />Subdivision Change Map Y/N <br />Phone No f ) • Ext <br />Second Phone ( I - Ext <br />E-Mail Address <br />Problem Information <br />Address 9831 Street 4TH AV[ W <br />From Cross Street <br />To Cross Slreet <br />City ZiP <br />Sub�ivision Map Book Map Reference <br />Problem <br />Sub Problem <br />Requested By Date Requested <br />Agency Relaled Request <br />Initialed From <br />Utility Locate (USA) No Cailed Date Expiralion Dale <br />Assignment Information <br />Dept Prioriry <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 NEPTUNE 314" METER b88G66615 INSTALLED OFF 8 LO�:KEO. RF i8.i0578373 <br />135' OUT. 22' R OF L. <br />Recommended Action <br />Approved By SDG SMITN, DAVID G. <br />Start Date i � Time <br />Completed 8y <br />Estimated Hours <br />Job Costlnformation(Y/N) <br />Date Compleled rn3izot� Permit No <br />Time Follow Up7 <br />�a <br />