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Issued By Ns0 <br />Issued DepartmenlPW <br />Date Issued 613012014 <br />NO JfVmTERJAL9q <br />Work Activity Work Order Page ' <br />9/28/2014 12:06 <br />NIELSEN, SCOTT 0. <br />PUBLIC WORKC <br />Fund 401 Accounts Program 7i0 <br />Function its Activity 67s <br />Program <br />Title REPAIR 75 INCH 2O23 92ND SE 710118675 <br />Work Order No 20141293 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Status W=014 Time 08 15 Onginal WO _ Billing _ <br />Customer information <br />Customer Name <br />Address <br />Street <br />Apartment No <br />City <br />State <br />Zip <br />Subdivision <br />Phone No I ) <br />Ext <br />Second Phone I I <br />Ext <br />E-Mail Address <br />Problem Information <br />ddress <br />Stree <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />To Be Comp Date <br />Scheduled Date <br />Scheduled Time <br />Route <br />Route Sequence <br />Comments <br />Action Taken GO SYNC CALLS THIS 92ND DR INSTEAD OF AVE <br />Recommended Action <br />Approved By NSO NIELSEN, SCOTT O <br />Start Date 1 1 Time <br />Completed By _ <br />Customer Id <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Information(Y/N) <br />Date Completed 5/3012014 Permit No <br />Timn Follow Up? <br />