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� <br /> Work Activity Work Order �'� �� <br /> � � <br /> ISSUCd BY CAG CRUM,GERRY <br /> Issued Deparlmenl Pw PUBLIC WORKS <br /> Dale �ssued ni2nzom <br /> Fund ao� Accounl s Program ��o FunGion tta Activity a�s <br /> Program <br /> TiIIC fiEPAIR]S INCH 6707 5.h1ACHIAS RD 710178W5 <br /> Work Order No 2G071059 Project Aclivily Type ser:wce aeouest itatus c� <br /> Date ivz�izoo� Time �ta� Original WO Billing <br /> Customer Information <br /> Customer Name caisr rtoa Cuslomer ld <br /> Addf055 6470 S�fCCt 118TH UR SE <br /> Apartment No Cit�� <br /> Slate Zip <br /> Subdivision Chanye Map Y/N <br /> Plione No ( azs ) 7a2-oaee Ext woRK <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address »g�� Streel THREEl.AKESRD <br /> From Cross Streel <br /> To Cross Strcet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Froblem WATER WATER <br /> Sub Problein LEAK LEAK <br /> Requested By cF CHRISCADEN,FRED Date Requesled �vzs�2om <br /> Agency Related Request 000a��e� <br /> Inill3lCd From PUOLIC PUOUC <br /> Ulility Locate (USA)No Called Date Expiralion Date <br /> Assignment Informalion <br /> Dept rw i'uouC woftKs ^rority Estimaled Hours <br /> Crew <br /> Contractor <br /> A551gf1Cd TO N50 NIELSEN,SCOTT O. <br /> l�ssigned Dy <br /> Assigned Date To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLAC[D 2"VALV[WIT'i G"VALVE AND REPLUMBED SERVICE TO METER WITH POLY.11Gi 1 <br /> 9 LAKES ROAD. <br /> CO�II�)IClt;d BY NSO NIELSEN,SCOTT O. A�(JfOVCd BY <br /> S�arl Date i � Time Dale Compleled iznaizom Time <br /> Job Cosl Intormation(Y/N) Follow Up? Permit No <br /> Probtem Details <br />