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Work Activity Work Order Page � <br />aizeizo=o �3:sa <br />ISSUBd By WMW � WARD, MICHAEL W. <br />Issued Department rw pUBLIC WORNS <br />Date Issued 9130I2010 <br />Fund yp� Account 5 Program ��a Function »e Activity 6�s <br />Program <br />TiIIC RENEW ONE INCH 11222 HAND RD 710118675' <br />Work Order No Z����869 PfOjBC� Activity Type CORRECTIVE MAINTENANCE Sl8fU5 CL <br />Status 3130120i0 Time i3st Oric�inal WO Billina <br />Customer Information <br />Customer Name Customer ld <br />Address Slreet <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />-- - - - -- - — .. _ <br />Problem Information <br />Address Streel <br />From Cross Streel <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Probiem <br />Sub Problem <br />Requesled By Date Requested <br />Agency Related Request <br />Initiated From <br />Utilily Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <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 INSTALLED NEW SERVICE POLY TO OLD COPPER. NEW METER, NEW PP.V. NEW 80X. SAME <br />LOCATION 903 + 10. SERVICE WAS NOT REMOVED FROM CHART AFTER dILLEO. <br />Recommended Action <br />Approved By Nso NIELSEN, SCOTT 0. JOb COSt IflfOftTlatlOfl(Y/N) <br />---- -- - - --- - — <br />Start Date i � Time Date Completed ae�zo�o Permit No _ <br />Completed By __ Time _ Follow Up? <br />y3 <br />