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I <br /> b'Voric Activit��� Work Order Page � <br /> � 6/27/2013 14:17 <br /> _- _____-—.—____--_. __ <br /> ISSUC j By WMW WARD,MICHAEL W. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued �vtai2o�z Activi <br /> Fund aot Account s Pn grem »o Function tte �Y 664 <br /> Progrem <br /> TItlB S0.75 1NCH 3001 SMITH AVE 710119664 <br /> WOfk Ofd2f NO 20122549 PfOJBCf ACUVIfy TypO CORRECTIVE MAINTENANCE St8iU5 CL <br /> St81US 11I132012 Time i2:as �f191f18�W� SY13176 ___ Bllllfl9_ __ ____ ____ <br /> Customer Information Customar ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext _ <br /> Second Phone ( ) • ' Ext <br /> _ <br /> E-Mail Address _— _ — -- ----- — — <br /> Problem Information <br /> Address 3001 Street SMITH AVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision b'ap 800k Map Reference <br /> Problem <br /> Sub Problem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate(USA) No Called Dai� Expiration Date <br /> Assignment Information <br /> Dept Pii;,�iry Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Da'e _ <br /> Scheduled Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken NEPTUNE METER#9218727. WATER ON. <br /> Recommended Aclior <br /> Approved By wo� wea,veR,oea,N�. Job Cost Information(YIN) <br /> Start Date i � Time _ _ l�ate Completed vzv2o�s _ Permit No <br /> Completed By _ _ T�re _ Follaw Up? __ <br />