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NQ M�1'ER�ALS <br /> Work Activity Work Order Page 1 <br /> 4/17/2018 14:33 <br /> ISSU2d By HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 2isi2o�s <br /> Fund ao� Account 5 Program ��o Function 119 Activity s�s <br /> . Program <br /> Title TEST.75 INCH 2O08 23RD ST 710119675 <br /> Work Order No 20180368 Project Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br /> Status 2/6/2018 Time o�:3s Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <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 20D8 Street 23RD ST <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 TEST.75 INCH DORMANT SERVICE. 30GALLONS PER MINUTE AND 82PS1 <br /> Recommended Action <br /> Approved By EAL ERICKSON,ArvoREw�. Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed 2/1/2018 Permit No <br /> Completed By Time Follow Up? <br />