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Work Activity Work Order <br />Page 1 <br />9/22/2016 9:46 <br />ISSU@d By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 2i�2no�s <br />Fund ao� Account 5 Program ��o Function 119 Activity s�� <br />Program <br />Title REPAIR 4 INCH AV 1003 52ND STREET 71 01 1 9671 <br />Work Order No 20160519 Project Activity Type CORRECTIVE MAINTENANCE StatUS CL <br />Status 2n2i2o�s Time �a:as Oriqinal WO 2o�52�ss Billinq <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 />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 INSTALLED GOOSE NECK INTO AIR VALVE AND PLUMBED OUT OF VAULT. <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 2i2�i2o�s Permit No <br />Time Follow Up? <br />