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Work Activity Work Order page 1 <br /> 10/lA/2015 11:13 <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �mzo�s <br /> Fund ao� Account 5 Program »o Function »y Activity aea <br /> Program <br /> Title 50.75 INCH 9811 Z4TH DR SE 770119664 <br /> Work Order No 20151584 PfOJeCI Activiry Type CORRECTIVE MAINTENANCE SfOfUS CL <br /> Status �mzo�5 Time os:�2 Original WO Billing ___ <br /> Customer Information <br /> Customer Name KIRSHNER HOLOINGS LLC Customer ld <br /> Address 4113 Street iz�rH sT se <br /> Apartment No City EVEREI7 <br /> State wn Zip eezoa <br /> Subdivision Change Map Ylh <br /> Phone No ( ) - Ext <br /> Second Phone l ) - Ext ----- <br /> E-Mail Address <br /> Problem Information <br /> Address gg�� Street p4THORSE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Mzp Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <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 Prioriry Estimated Hours <br /> Crew <br /> Contrector <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date _ Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED NEW.751NCH WATER SERVICE USING.751NCH 200 PSI POLY TO.751NCH <br /> SETTER WITH METER AND BOX. NEPTUNE METER#67816016,RF#1852767528,WATER ON. <br /> Recommended Action <br /> Approved By wo� wea,veR.�EAN�. Job Cost Information(YIN) <br /> Start Date � � Time Date Completed ��2ti^o15 Permit No <br /> Completed By Time Follow Up? <br /> �/� <br />