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• RECORDS a <br /> QCT 0 7 2005 <br /> 6 <br /> Page 1 � <br /> Work Activity Work Order �0/3/2005 �3:�8 �I <br /> Issued By WMW WARD,MICHAEL W. <br /> Issued Department Pw Pueuc wORKs <br /> Date Issued 9/9�zoos <br /> Fu�d qot Account 5 Program �to Function �ta Activity 875 <br /> Program <br /> Title CONVERT 9911 24TH DR SE 7101/9675 <br /> Work Order No 20050873 PfOJCC► Aclivity Type CORRECTIVE MAINTENANCE SlefUS CL ` <br /> Daie sisizoos Timeoe:55 Original W0 Billing I <br /> _ - — — _ ----- --- _ _ _ _ __ _- __ I <br /> Customer Information � <br /> Customer Name WENDALL SCOTT DEVELOPMENT Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> S�cond Phone ( ) - Ext -- - — " <br /> E-Mail Address � <br /> __ - - - - ____ � <br /> Problem Information <br /> Address gg�� Street y4TH DR SE <br /> From Cross Street <br /> To Cross St.eet ( <br /> City Z�P i <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiiity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priorit; Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assiqned By <br /> Assigned Dete _ _ To Be Corc;p Date _ <br /> Scheduied Date Scheduled Time __ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken METER#805195861NSTALLED26'L Of R AND 33'OUT <br /> COfilpl2ted By K�DL WEAVER,DEAN L. JOb COSf IflfOffT18fi0t1(YIN) <br /> Start Date I 1 Time Date Completed y�y�2oos Tirne <br /> - -- -- - - <br /> Appro�ed By Follow Up? _ _ Permit No <br /> P�oblem Details <br />