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� <br /> Work Activity Work Order PdQe 1 <br /> 9/23/2011 16:12 <br /> ISSUBd By WMW WARD, MICHAEL W. <br /> Issued DepartmentPW PUBLICWORKS <br /> Date Issued 912312011 <br /> Fund ao� Account s Program »o Function tte Activity 673 <br /> Program <br /> Title TAP B INCH 6101 23RD DR W 710119673 <br /> Work Order No 20112329 PfOJ2C� Activity Type CORRECTIVE MAINTENANCE SiB�US PR <br /> Status sizaizoii Time is:a� Originai WO Billing <br /> Customer Information <br /> Customer Name NortaRo Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address g�p� Street y3RD DR W <br /> From Cross Street <br /> To Cross Street <br /> City Zip - <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility 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 _ �1 �� . �.: � <br /> Scheduled Date. _ Scheduled Time � �� <br /> Route Route Sequence <br /> Comments <br /> Action Taken- CONTRACTOR EXCAVATED,SHORED AND SUPPLIED PARTS. <br /> Recommended Action <br /> Approved By Job Cost Information(YIN) <br /> Start Date � � Time _ Date Completed 9 �;;7)� //� Permit No <br /> Completed By (�(Tv� � Time _ Follow Up? <br /> Probiem Details <br />