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Work Activity Work Order �°y�� ' <br /> :�/::a;_.. ., . ,. :�� <br /> . . .. _._ — . . _. _— . _ . ..-- - � - --- <br /> Issued By GSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued enuo�s <br /> Fund 4a� Account s Program »o Functios »s Actmvty 675 <br /> Program <br /> Title CONVERT 751NCH 4618 COLBY AVE 710719675 <br /> Work Order No 20151980 PIO)eCl Acuv�ry Type CORRECTIVE IAAINTENANCE $fBtUS CL <br /> Status Qiar2o�s Time isaa Ongmal WO 8�I!mg <br /> Custamer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No C�ty <br /> State Zip <br /> Subdwis�on Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone c ) • Ext - - - - <br /> E•Mail Address <br /> Problem Information <br /> Address 4618 Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Subdrvision Map [3ook Map Relerence <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Initiated From <br /> Uhlity Locate (USA) No Called Date Explrahon Date <br /> Assignment Iniormation <br /> Dept Prionty Eshmated Nours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned ay <br /> Assigned Date To [3e Comp �ale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERTED TO METER. <br /> Recommended Action <br /> Approved By FBL FISNER,6088Y L Job Cost Inform�bon(Y/N) <br /> Start Date � � Time Date Completed 9114l1015 Permit No <br /> Completed By Time Follow Up? <br />