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�. sa w�„- ii 3' �i $� �d :i � � Ill � � ! t6�r � <br />Work Activity Work Order <br />Page 1 <br />9/14/2016 13:29 <br />ISSUed By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1/14/2016 <br />Fund ao� Account 5 Program ��o Function ��s Activity s�� <br />P rog ram <br />Title REPAIR 4 INCH AV 3501 OAKES AVE 710119671 <br />Work Order No 20160223 Project Activity Type CORRECTIVE MAINTENANCE St2tUS CL <br />StBtUS 1/14/2016 TI1712 14:35 Original WO zo�52�ss B111111g <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 <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 CORE DRILLED TOP OF VAULT AND INSTALLED GOOSENECK ON AIR VALVE. <br />Recommended Action <br />Approved By FBL FISHER, BOBBY L. <br />Start Date i i Time <br />Completed By <br />Date Completed <br />Time <br />Estimated Hours <br />Job Cost Information(Y/N) <br />3/19/2016 __ _ <br />Follow Up? <br />Permit No <br />