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Issued By cs� <br />Issued Department Pw <br />Date Issued 1/20/2016 <br />Fund ao� <br />Program <br />Vl/ork Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Page 1 <br />9/14/2016 13:46 <br />Account s Program 7�o Function ��s Activity s�5 <br />Title REPLACE .75 INCH 2111 CLEVELAND AVE 710119675 <br />Work Order No 20160285 Project Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br />Status 1/20/2016 Time �a:aa Origirial 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 Street <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Map Reference <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority <br />C rew <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 REPLACED POLY FROM MAIN TO SETTER. MEASUREMENTS PER GO-SYNC <br />Recommended Action <br />Approved By FBL FISHER, BOBBY L. <br />Start Date i i Time <br />Completed By <br />Date Requested <br />Related Request <br />Estimated Hours <br />Job Cost Information(Y/N) <br />Date Completed ziz�izo�s Permit No <br />Time Follow Up? <br />