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Work Activity Work Order `°=° ' <br /> � 1,�;z�:5 A 3E <br /> -- -- - -- <br /> -- -- _ _ _ . <br /> ISSUEd BY NSO NIELSEN,SCOTT O. <br /> Issued DeFartment Pw PUBLIC WORKS <br /> Date Issued 912412014 <br /> Fund ao� Account s Program �ia Function iia Acr�vity b�s <br /> Prugram <br /> Tlfle NILI 75INCH14117 THREE IAK[S RD <br /> WOfk OfdBf NO 20143006 Pro�ect Activ�ty Type CORRECTIVE h1AMTENANCE SI2fU5 CL <br /> Status 9�znraoia Time �sn2 OnginalWO Bil'ing <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Chance Map Y/N <br /> Phone No ( ) � Ext <br /> Second Phone ( � • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 14117 Sireet THREE LAKES RD <br /> From Crass Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WA7ER WArER <br /> Sub Problem OTHER 07HER <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Indiated From <br /> Utility Locate (USA) No Called Date Fxpiration Dale <br /> Assignment In(ormation <br /> Oept � Pr�onty Eslimated Iiours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _____ _ Tc Be Comp Date <br /> Scheduled Date Scheculed Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken KILLED SERVICE CUSTOMER WENT TU PUD. <br /> Recommended Action <br /> Approved By Nso NIELSEN.SCOTT O Job Cost Information(Y/N) <br /> -- - - - _ --- <br /> Start Date r i Time Date Completed �o�ai2o�s Permit No <br /> - - -- — - - — --- - <br /> Completed Dy _ Time Follow U�? _ _ _ <br /> r <br />