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Work Activity Work Order <br />0 <br />;:a�,. � <br />si2zizou� t�:oe <br />ISSUBd By WMW WARD, MICHAEL W. <br />Issued Department PW PUBLIC WORKS <br />Date Issued azaizoo� <br />Fund aot Account s Program �to Function »9 Activity 6�5 <br />Program <br />TIIIB CONVERT 1425 51ST PL SW 710119675 <br />WOfk OfdBf NO 20070353 PfOj2Cf Activily Type CORRECTIVE MAINTENANCE Sf8tq5 CL <br />Date aiz3noo� Time t5:a2 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No l ) - <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem Information <br />Address 1425 <br />From �ross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date _ _ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street 51ST PL SW <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YrN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priorily <br />Action Taken METER # 83758705 INSTALLED PER MEASUREMENTS ON CHART. <br />Estimated Hours <br />Completed By WOL NIEAVER, GEAN L. Ap(7fOV8d By <br />S'art Date � � Time Date Completed az3izam Time <br />Job Cost Information(YIN) Follow Up? Permit No <br />— - — <br />Problem Details <br />CUST REQUEST (TO FIX LEAK ON HIS SIDE ON BLUE POLY.) <br />