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5107 23RD AVE W 2016-01-01 MF Import
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5107 23RD AVE W 2016-01-01 MF Import
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Last modified
4/1/2017 8:52:11 AM
Creation date
4/1/2017 8:52:04 AM
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Address Document
Street Name
23RD AVE W
Street Number
5107
Imported From Microfiche
Yes
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PagA 1 <br /> Work Activity Work Order 9,�1,zo13 8:�9 <br /> ISSUBd By CSG CAVANAH,SHANE G. <br /> Issued Department aw PUBIIC WORKS <br /> Date Issued s�2ano�a <br /> Fund ao� Accounts Program »o Function ��9 Activity 675 <br /> Program CONVERT.75 INCH 5107 23RD AVE W 710119675 <br /> Title <br /> Work Order No 20131335 PfOJOC� f�CflVlfy TypO CORRECTIVE MAINTENANCE SI2tUS CL <br /> Status s�2eizo�s Time is:zt Original WO ___ Billing_ _ <br /> Customer Infcrmation Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) • Ext ___ __ <br /> Second Phone ( ) - Ext <br /> E-Mail Address — —- <br /> Problem Information <br /> Address Street <br /> Frorn Cross Street <br /> To C,ross Street <br /> Cih/ Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Information Estimated Hours <br /> Dept <br /> Prioriry <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date ---- <br /> Scheduled Date _ Scheduled Time __.___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken FLAT RATE CUSTOMER SIDE BROKE.REPAIRED AND INSTALLED METER AT CUSTOMER <br /> RE4UEST. <br /> Recommended Action <br /> Approved By oo� oRaszT_oAvio�. Job Cost Information(YIN) <br /> Start Date � i Time ___ Date Completed irvzo�a Permit No ___ <br /> -- — <br /> Completed By Tirr�e Follow Up?__ <br />
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