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Work Activity Work Order <br />ISSUed By CSG CAVANAH, SHANE G. <br />ISSUEd Department Pw PUBLIC WORKS <br />Date Issued 2/5/2016 <br />Fund ao� Account 5 Program ��o <br />Program <br />Title REPAIR 8 INCH 2928 TERMINAL AVE 710119 <br />Function 119 <br />Page 1 <br />2/5/2016 16:1.9 <br />Activity s�3 <br />Work Order No 20160482 Project Activity Type CORRECTIVE MAINTENANCE <br />Status 2/5/2016 TII71e 16:16 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 />Status PR <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 />ActionTaken��..::v�.�.cX � ���1.� C�s� arwr�_ �o+�� o� �.,�,u.l� _-hv -�ik_ <br />C.,,�-��,_� g,� �Y.� �.� wt�,:r. �.,�� �� nA..s�� ��- -- <br />