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Work Activity Work Order Page 1 <br />9/15/2016 11:38 <br />ISSUEd By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 2/4/2016 <br />Fund ao� Account s Program ��o Function 119 Activity s�5 <br />Program <br />Title RENEW .75 INCH 3432 LOMBARD AVE 710119675 <br />Work Order No 20160466 Project Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br />Status 2/5/2016 Time o�z� 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 Street <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem <br />Sub Problem <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 RENEWED SERVICE ONTO 12" DUCTILE IRON MAIN. PUT IN CHART CHANGE TO REFLECT WHAT <br />MAIN IT IS LOCATED ON. <br />Recommended Action <br />Approved By RJP RAPELYEA, JASON P. <br />Start Date � i Time <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed 3/19/2016 Permit No <br />Time Follow Up? <br />