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Work Activity Work Order pa9e 1 <br />i��i�2oii i4:4� <br />ISSU2d By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued wai2o�t <br />Fund en� Account 5 Program 7to Function 1ts Activity s�s <br />Program <br />Title REPAIR .75 INCH eJ19 FAIRFAX AVE 710179675 <br />Work Order Na 2���2482 PfOJBCf Activity Type CORRECTIVE MAINTENANCE S18tU5 CL <br />Status �vaizoi� l'ime i2:oz Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � > <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address pp�g <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street FAIRFAX AVE <br />Map Book <br />Called Date <br />To Be Corrp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Prioriry Estimated Hours <br />Action Taken INSTALLED SETTER AND JUMPER WITH BOX. 11 FEET LEFT OF RIGHT. 25 FEET OUT. <br />Recommended Actfon <br />Approved By WDL VUEAVER, DEAN L. <br />Start Date I � Time <br />Completed By <br />Job Costlnformation(YlN) <br />Date Completed �ve�zo» Permit No <br />Time Follow Up? <br />Y3 <br />