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Work Activity Work Order Pa�= 1 <br /> 5/17/2014 15:45 <br /> Issued By VYNVV WARD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued enanota <br /> Fund ao� Account s Program »o Function tts Activity 676 <br /> Program <br /> TIfIQ REPAIR]51NCH 1225 E CASINO RD 710119675 <br /> WOfk O�d@f NO ZO�4�8i Z PfOJBCI Activity Type CORRECTIVE MAINTENANCE Sl8tU5 CL <br /> Status 4�142014 Time ora5 Of191f181 WO 00127457 Billing <br /> Customer Informatlon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext <br /> Second Phone c ) • Ext <br /> E-Mail Address - <br /> Probiem Iniormation <br /> Address �pps Street ECASINORD <br /> From Cross Stree� <br /> To Cross Sireet <br /> City Z�P <br /> Subdivisi.,� Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Protilem <br /> Requested By Date Reques'ed <br /> Agency <br /> Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dep! Priority Eslimated Hours <br /> Crew <br /> Contractor <br /> /�ssigned To <br /> l�ssigned By <br /> Assigned Date To Be Comp Date <br /> �che�iuled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLUMBED FOR METER. <br /> Recommended Action <br /> Approved By sca SMITH,CAMERON R Job Costln(ormation(Y/N) <br /> Start Date i � Time Dale Completed ananota Permit No <br /> Cempleted By Time Follow Up? <br />