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Work Activity Work Orcier <br />ISSU@d BY WMW WARD, MICHAEL W. <br />Issued DepartmentPw PUBLICWORKS <br />Page 1 <br />B/4/2010 14:01 <br />Date Issued 612412010 <br />Fund ao� Account s Program »o Function »y Activiry ssa <br />Progrem <br />Title SO 314 INCH 4910 S 4TH AVE 7I0119664 <br />Work Order No Z0101546 Project Activity Type CORRE(:TIVE MAINTENANCE Status c� <br />Status eizaizoio Time m:sa Original V'!O t3000 Billing <br />Customer Information <br />Customer Name C•astomer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone Na ( 1 - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address qg�p Street S 4TH AVE <br />From Cross Streel <br />To Cross Street <br />City Zip <br />Subdivision Map Book ivlap Reference <br />Problem <br />Sub Problem <br />Requested By Date Raquested <br />Agency Related Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiiation Ddte <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contrector <br />Assiyned To <br />Assigned By <br />Asnigned Date _ To Be Comp Datz <br />Scheduled Date Schedu;ed Time <br />Route Route Sequence <br />COrt1ftlC0[5 CONOOMINIUM RECORDFD DCCLARAT�ON SUBMITTEO <br />Action Taken NEPTUNE METER p03318033. RADIO t1t47173£556 (HI�. J141NCH INSTALL ON. LOC 22' <br />OUT RIGHT OFF kIGHT <br />Recommended Action <br />�pproved 8y pS PERE2, SERGIO <br />Start Date � � Time <br />Completed 8y <br />Job Costlnformalion(Y/N) <br />Date Completed mnzn�o Permit No <br />Time Foi �w Up? <br />\� <br />