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Work Activity Work Order page 1 <br /> 12/11/2'J12 '.5:99 <br /> 15SU0d By CSG CAVANAH.SHANE G. <br /> Issued Departmentrw PUBucwoRtcs <br /> Date Issued �aie�2o�z <br /> Fund aot Account 5 Program �to Function itg Activity s�s <br /> Program <br /> TitIB REPAIR71NCH432000LBYAVEA8B710N9675 <br /> Work Order No Z��ZZZ9� Project Activiry Type CORRECTIVE MAINTENANCE StBtUS CL <br /> Status �aano�z Time �4:�e Original W0 Billing__ _ _ . _ <br /> Customer Informatfon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment N� City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext _ __ _ _ <br /> Second Phone ( ) • Ext <br /> E-MailAddress ______ _.._ -- -- <br /> Probiem Information <br /> Address Street <br /> From Cross Slreet <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book Map ReFerence <br /> Probiem <br /> Sub Problem <br /> Requested By Date Requested <br /> Ayency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ To Be Comp Date _ <br /> ScheduledDate ___ ScheduledTime <br /> ftoite Route Sequence <br /> Comments <br /> Action Taken MOVED MC-TER AWAY FROM RETAINING WALL AND INSTALLED MOLDED BOX. <br /> Recommended Actian <br /> Approved By wo� wE/+ve�t,oenN�. Job Cost Ir.fonnation(YIN) <br /> Start Date � � Time ___ ._ Date Compieted tm�oi2otz _ Permit No _ <br /> — -- __ <br /> Completed By _ _ Time Follow Up? _ _ _ ___ <br /> --- � <br />