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Work Activity Work Order Page 1 <br /> 5/17/2014 19:38 <br /> ISSUOd BY CSG CAVANAH,SHANE G. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued s�zs�2ota <br /> Fund ao� Account s Program »e Function �te Activity a7s <br /> Program <br /> TIflB REPAIR.751NCH 8910 EVEF3REEN WAY 710119675 <br /> WOfk OfdBf NO 20140641 PfOJBCt Activity Type CORRECTIVE MAINTENANCE SfetUS CL <br /> Status 3�zsno�a Time �5:n Original WO _ Billing ___ <br /> Customer Information <br /> Customer Neme Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( l - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address ___— -- <br /> Problem Information <br /> Address Street <br /> Fram Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Probiem <br /> Sub Probiem <br /> Requested By Date Requested <br /> Agency <br /> Related Request <br /> !nitiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> I; Crew <br /> � Contractor <br /> Assigned To <br /> � Assigned By <br /> Assigned Date ____ To Be Comp Date <br /> Scheduled Date __ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CUT AND CAPPED SERVICE <br /> Recommended Action <br /> Approved By wo� �VER,oenN�. Job Cost Information(YIN) _ <br /> Start Date � � Time Date Completed 3n7�zo�a Permit No _ <br /> Completed By __ _____ Time __ Follow Up? __ <br />