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Work Activity Work Order `a�e 1 <br />:2/7/2013 1�:34 <br />__ -_. _ –. _____–'__. __ ___. _ <br />__ ... . _ _ _ —_ –__. -- _-- <br />ISSU2d By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued tmtsi2ota <br />Fund ao� Account s Program ��o Function tte Activity 675 <br />Program <br />TItIB CONVERT .75 1NCH 5711 COLDY AVE 710179675 <br />Work Order No 20133307 PfOJeCi Activity Type CORRECTIVE MAINTENANCE Sf8ft15 CL <br />Status tonsrzo�3 Time ts:oz Original WO Billing <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No (:ity <br />State Zip <br />Subdivision <br />Phone No f 1- Ext <br />Second Phone ( ) • Ext <br />E-Maii Address <br />Problem Informatfon <br />Address g7�� Street COLBYAVE <br />From �ross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requesled By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Infarr�ation <br />Dept <br />Cre�.v <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date _ <br />Raute <br />Comments <br />Action Taken CONVERTED FLAT TO METER <br />Map Book <br />Cailed Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change 67ap Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Recommended Action <br />Approved By soc sMirH, �nVio G. Job Cost Information(YIN) <br />Start Date i � Time Date Compteted �a�sno�a Permit No <br />Ccmpleted Dy Time Follow Up'? <br />