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(f') <br /> NO MATERIALS <br /> Work Activity Work Order Page 1 <br /> 3/14/2018 15:46 <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 1/12/2018 <br /> Fund 401 Account 5 Program 710 Function 116 Activity 675 <br /> Program <br /> Title TEST.75 INCH 212 76TH SW 710119675 <br /> Work Order No 20180202 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status 1/12/2018 Time 14:22 Original WO Billing <br /> Customer Information <br /> Customer Name Customer Id <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 212 Street 76TH ST SW <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <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 /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken 45 PSI,24.11 GALLONS PER MINUTE <br /> Recommended Action <br /> Approved By HSG HOLLO,SAMUAL Job Cost Information(Y/N) <br /> Start Date ► / Time Date Completed 1/12/2018 Permit No <br /> Completed By Time Follow Up? <br />