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Work Activity Work Order <br />Page 1 <br />9/22/2016 9:37 <br />ISSU2d By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 2��oizo�s <br />Fund ao� Account 5 Program ��o Function ��s Activity s�3 <br />Program <br />Title REPAIR 6 INCH 1501 ROCKEFELLER AVE 710119673 <br />Work Order No 20160515 PfOJ@Ct Activity Type CORRECTIVE MAINTENANCE StatUS CL <br />Status 2/11/2016 Time �2:03 Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Add ress 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 />Change Map Y/N <br />Map Reference <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 BELL CRANK. REPLACED WITH PIECE OF DI AND HYMAX COUPLING. <br />Date Requested <br />Related Request <br />Estimated Hours <br />Recommended Action <br />Approved By FBL FISHER, BOBBY �. Job Cost Information(Y/N) <br />Start Date � i Time Date Completed 3/17/2016 Permit No <br />Completed By Time Follow Up? <br />