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Work Activity Work Order pa9e 1 <br /> 1�11�2�12 15:00 <br /> Issued By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued sivsoti <br /> Fund aoi Account 5 Program »o Function �tg Activity 675 <br /> Program <br /> Title REPAIR.75INCH B24 E CASINO RD 710119675 <br /> Work Order No ZO'I'IOB4B PfOJ@C� Aclivity Type CORRBCTIVE MAINTENANCE Sl0tU5 CL <br /> Status �ivzoi� Time �a ae Original WO Billing _ _ __ _ <br /> Customer Iniormatlon <br /> Customer Name Customer ld <br /> Address Streel <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( I • Ext <br /> Second Phone l 1 - Ext <br /> E-Mail Address <br /> Psoblem Information <br /> Address Street <br /> From C�oss Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Mgency Reiated Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assig�ment Informatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Cort�p Date <br /> Scheo�iled Date Scheduled Time <br /> Rouic Route Sequence <br /> COmment8 l�NVENT9R�MATERIAL IN THE AMOUNT b�;YDO�WAS JO wRNALI?EO H�� <br /> ���� � , _ . . . <br /> ,.. <br /> Actlon Taken FOUND CURBSTOP ANO REPLACED WITH NEW.751NCH SETTER,JUMPER AND BOX. <br /> Recommended Action <br /> Approved By soc SMITH.DAVID G Job Cost Information(YIN) <br /> Start Date i � Time Date Completed erena�i Permit No_ <br /> Completed By Time Follow Up? <br />