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Issued By— - wmW <br />Issued Department Pw <br />Date Issued 1o�5izolt <br />Fund aot <br />Program <br />� 4 . <br />.:11 <br />Work Activity Work Order <br />WARD, MICHAEL W. <br />PUBLIC WORKS <br />Account s Program »o Function tis <br />, _..� �� ��. <br />Page 1 <br />11/1/2011 10:34 <br />AC�IVIIy 932 <br />Title REPAIR 7324 20TH AVE SE LK ST 710119932 <br />Work Order No 20112351 PfOJEC� Activity Type CORRECTIVE MAINTENANCE <br />Status �o�5no�1 Time �toa Original WO _ _ ,_ __ _ Billing__ _ _________ _ <br />Customer information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Z�p <br />Subdivision Cl�ange Map YfN <br />Phone No ( ) - Ext - - --- ---- --- <br />Second Phone ( ) - Ex! <br />E-Mail Address ___ _ _ _ _ — _____— -_- <br />Problem Information <br />Address 73pq Street �OTHAVESE <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 Reyuested <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 <br />Scheduied Date ____ ___ Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken � ��4 LINE REPAIRED BY SEWER CREW. LETTEI? SENT TO OWNER TELLING HIM K'E FIXED <br />IT. <br />Sf8fU5 CL <br />Recommended Action <br />Approved By WMW WARD, MICHAEL W. JOb CO:�f Ifl(OfR18t�Of1(YIN� <br />Start Date 1 � Time ____ Date Completed �ois�zot� _ Permit No <br />Completed By ___ _ Time Follow Up? __ <br />