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Worlc Activity Work Order <br />ISSUBd B� WMW WARD, MICHREL W. <br />Issued DepartmenlPw PUBLICWORNS <br />Date Issued �onvsoto <br />Fund �ot Accounl 5 Progrem tto Function >>y Ac6vity 664 <br />Program <br />TIIIB SO 3/4 INf.H 1811 � 105TH ST SE 710119664 <br />WOIk OldBf NO 20102554 PfOJQCI 4divity Type CORRECTIVF MAINTENANCE S�B1U5 CL <br />Status �mi v2oio Time 14 39 Ongiral WO »oa� Bilhr.� <br />Customer Informatlon <br />Cusromer Name Customer ld <br />Address Street <br />Apariment No Cdy <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�� Streel �05THSTSE <br />From Cross Sireel <br />To Cross Stree� <br />Gty — -- Iq� <br />Subdwision Map Book Map Reference <br />Problem <br />S ib Problem <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Ulihty Loc21e (USA) No Called Dale Expiration Date <br />Assignment Information <br />Dept Pnonry Eslimated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned Hy <br />Assigned Dale To Re Co�np Dale <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments MINIMUM SYS DEV FEE CHARGED <br />Action Taken NEPTUNC METERM BB6G6561 RADIO N18705783tl6 7l� INCH SEHVIf.F FON MODULAR OFFICC. <br />INSTALLED ON. MIMIMUM SYS DEV FEE CHARGED. <br />Recommended Actlon <br />APP�OV@d By SDG SMITH DAVID G <br />Start Dale i i Time <br />Completed By <br />Job Coat Information(Y/N) <br />Date Completed >>nno�o Permit No <br />Time Follow Up7 <br />��5 <br />