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�� �07�N���E��l�� <br />?aae '- <br />�OCk Activity Wark Order y�-_��zo�3 a:�a <br />ISSUBd By NSO NIELSEN, SCOTT O. <br />Issued DepartmentF'�v PUBLICWOFKS <br />Date Issued aiai2o�a <br />Fund aoi Account s Program »a Function ��a P,ctivity 675 <br />Program <br />Tltle KILL .75 INCH u224 20TH ST SE 770118675 <br />WO�k OfdBf NO zO�Ja�2$ PfOJOCt Activity Type CORRECTIVE MAIN7ENANCE Sf2IL15 PR <br />Status a�aizoi� Time �225 Original WO _ __ _ ___eilling_ _ __ _ __ . ____ - - _ <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No � 1 - Ext <br />Second Phone � 1 - F_xt <br />E-Mad Address <br />Problem Information <br />Address ggp,{ Street ZOTH ST SE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />I�robic^� <br />Sub Problem <br />Requested By <br />Agency <br />Ir,itiated From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By To Be Comp Date <br />Assigned Date _ __._. -- <br />Scheduled Time <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Reques;ed <br />Related Request <br />Expiration Date <br />' �riority Estimated Hours <br />Scheduled Date _____ __._ -- - <br />Route Route Sequence <br />Comments <br />Action Taken SERVICE KILLED AT MAIN 4-8•13 <br />LEAVE SERVICE ON CHART SHOWN AS KILLED AT MAIN <br />Recommended Action <br />Approved By _ <br />Start Date � � <br />Comp�'_tec: By <br />Job Cost Information(YIN) <br />- -- <br />Time Date Completed _� � Permit No <br />Time Follow Up? _ ___ _ <br />