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11Vork Activity Work Order Page � <br /> �o/zo/zoii is:os <br /> ISSU2d By CSG CAVANAH,SHANE G. <br /> Issued Departmentrw PUBLICWORNS <br /> Date Issued eiavzet� <br /> Fund aot Accounts Pro_a,ram 7�o Funct�on �iy P.divdy 6>s <br /> Program <br /> TItlO REPAIR.75 1NCH a617 COLBY AVE 770119675 <br /> Work Order No 2���Z�z� PfOjBCI Activiry Type CORRECTIVE MAINTENANCE StatuS CL <br /> Status eis�imn Time ir za Original VV0 Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Str�:et <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y�N <br /> Phone No f ) • Ext <br /> Second Phone ( > • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 4817 Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Probiem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned 8y <br /> Assigned Date To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED�ETTER AND JUMPER ON SERVICE AND MOVED INTO SIDEWALK. <br /> Recommended Action <br /> Approved By wo� WEAVER,DEAN L. JOb COSt If110fOl8flOf1(YIN) <br /> Start Date � i Time Date Completed s;zv2o�t Permit No <br /> Compteted By Time Follow Up? <br />