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Work Activity Work Order �.'". ' <br /> :;./:/'-�-s a: ao <br /> ISSU@d By N50 NIELSEN,SCOTT 0. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 9�xu2ot♦ <br /> Fund so� Account s Program �io Functicr �ta Actiwry s�s <br /> Program <br /> TIIIB KILL]S INCH �4025 THREE LAKES R0 710118675 <br /> WOfk �fdEf NO 2��430�� Pro�ed -�..Uvity Type CORftECiIVE 6L11NTENANCE SIdlUS CL <br /> SIaNs _a2a�zoia Time i53o On9inalWO_ _ Billing _ _ ._ __,__ _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Sireat <br /> Apartment No Ciry <br /> Stale Z�P <br /> Subdiwson Change Map YIN <br /> Phone No � � - Ext <br /> Second Phone � i � Ext -- - <br /> E-Mail Address <br /> Prablem Information <br /> Address �qpyg Street THREE LAKES RD <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdrvision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTH[R OTHER <br /> Re�uested By Date Reque�ted <br /> Agency Related Request <br /> Inihaled From <br /> UUGty Lowte(USA) No Called Cate Expiraho� Dale <br /> Assignment Information <br /> DeP� Pnonty Estimated Hours <br /> Crek <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To �e Comp Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequencc <br /> Comments <br /> Action Taken KILLE�AT MAIN,CUSTOMER WENT TO PUD. <br /> Recommended Action <br /> Approved By Nso NIELSLN. SCOTT O Job Cost Information(YIN) <br /> Start Date � r Time Dale Completed tom2o�s_ Permd No _ <br /> — — — _ _ — <br /> Completed By Time Follow Up7 _ <br />