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Work Activity Work Order <br />C.� �1.. I <br />,��;,�:�,,;�� ,;:�3 <br />Issued 8y WMW WARD, MICHAEL W. <br />Issued Departmenl Pw PUBLIC WORKS <br />Date Issued 412612007 <br />Fund qo� Accounl s Program ��o Function tt9 Aclivity e'rs <br />Program <br />TIIIC REPAIR 7101 �FVERLY LANE 710119675 <br />WOfk OfdCE NO Z00%0366 PfO�CC� ACUVI�y TYnC CORRECTNE AIAINTENANCE Sl8fU5 PR <br />Date aizenoo� Time i�s:zo Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apariment No <br />State <br />Subdivision <br />Phoae No l � <br />Second Phone ( � <br />E-Mail Address <br />Problem Information <br />Address 7�p� <br />From Cross Slreet <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />°ub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Intormation <br />Dept <br />Crew <br />Contractor <br />Assic�ned To <br />Assiyned �y <br />Assigned Dale <br />Scheduted Date <br />Route <br />Comments <br />Slreet <br />�ity <br />Zip <br />Exl <br />Ext <br />Streel gEVERLY LN <br />Map Bnok <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken NEW SETTER, METER AND BOx INSTALLED. <br />Completed By�p� LU.Oir�� <br />Slart Date i i Time <br />Job Cosl Informalion(Y/N) <br />Problem Detalls <br />SETTER CRUSHED <br />Customer ld <br />Change A1ap Y/N <br />Zip <br />Map Reference <br />Dale Requested <br />Related Request <br />Expiraliun Date <br />Priority Estimated Hours <br />Approved By <br />Dale Completed y �„�i � <br />Follow Up? Permit No <br />Time <br />