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c t <br /> N • MATERIALS <br /> Work Activity Work Order Page 1 <br /> 5/25/2021 12:57 <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 3/17/2021 <br /> Fund 401 Account 5 Program 710 Function 119 Activity 677 <br /> Program <br /> Title REPAIR HILLSIDE 4931 HARBOR LN 710119677 <br /> Work Order No 20210921 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status 3/17/2021 Time 15:36 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 4931 Street HARBOR LN <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 REPAIR HILLSIDE FROM HYDRANT BREAK <br /> Recommended Action <br /> Approved By FBL FISHER,BOBBY L. Job Cost Information(Y/N) <br /> Start Date / / Time Date Completed 4/2/2021 Permit No <br /> Completed By Time Follow Up? <br />