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Work Activity Work Order ��" ` <br />_ _ ._ . __ - _ .____ -_ _ ____ _ ..__ . . . _.. — <br />12/7/2013 11:35 <br />Issued By oa� OSBORNE, RICK J. <br />Issued Department rw PUBLIC WORKS <br />Date Issued BH/2013 <br />Fund aot Account a Program zoo Function �oe Activity 633 <br />Program <br />Titie lS1B FLOW 8 MONITORING IMPROVEMENTS 200109633 <br />Work Order No 20131578 PfOJEC► Activity Type CORRECTIVE MAINTEN4NC� $t3tU5 CL <br />Status e�vzo�3 Time or.3s Original WO___ ____ _ Biiling _ _ .__ <br />Customer Infarmation <br />Customer Name <br />Address �eoo <br />Apartment No <br />State <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-Mail Address <br />Problem Information <br />Address 7600 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />SffE01 BROADWAY <br />City <br />Zip <br />Ext <br />Ext <br />Street BROADWAY <br />Action Taken CLOSE PEft RICK OSBCRN[ <br />Recommended Action <br />Map Book <br />Catied Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld �s�s <br />Change Map Y/N <br />LD <br />Map I�eference <br />Dai� Requested <br />Related Reyuest <br />Expiration Date <br />Priority <br />Es:imated Hours <br />Approved By oR� osuci:�ae. F.icrc �. Job Cost Information(Y/N) <br />Start Date � I Time Date Completed tzmzo�a_ __ <br />Comnleted By Time Follow Up7 <br />Permit No <br />