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Work Activity Work Order ' � ` ' <br /> � � i,�,-,�.u�:i !p:_: <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBUC WOHKS <br /> Dale Issued a�si2o�a <br /> Fund eot Account 5 Program »o Function »y Activdy b�s <br /> Program <br /> Tdl2 TEST 15G? 100TH ST SW 710119675 <br /> Work Order No 20130725 Pro�ect Acl�wty Type conat ctiv� MniNt[NnNcr Status c� <br /> Status aisr�o» Time o� �o Onginal WO Bdlmg <br /> Customer Intormation <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No C�ty <br />+ State Z�P <br /> Subdwison Change Map Y/N <br /> Phone No � � - Ezl <br /> Second Phone i � - Ext <br /> E-Ma�l Address <br /> Problem Information <br /> Address 150Y Street �OOTH ST SW <br /> From Cross Street <br /> To Cross Street <br /> City .. _— Z'p <br /> Subdrvision Map E3ook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested Ry Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utdity Locate (USA) No Called Date Expirahon Uate <br /> Assignment Information <br /> Dept Prionty Eshmated Nours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ____ To �e Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken TEST.75 INCH DORMANT SERVICF NEW ADDRE55 IS 1502 100TH 51 SW. PL[ASE NOTE,NO <br /> TUMMS ID k YET. <br /> Recommended Action <br /> P,pproved By wo� wEnvErt nFSN � Job Cost Information(Y/N) <br /> _ __ — <br /> Start Date r � Time Dale Completed qI01201� Permit No <br /> Completed By Time Follow Up� <br /> /•. <br /> i � <br /> ���F <br />