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Work Activity Work Order pa9e 1 <br /> 9�i�sois io:aa <br /> ISSUBd By CSG CAVANAH,SHANE G. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued a�sizots <br /> Fund ao� Account 5 Program iio Function »y Activity 675 <br /> Program <br /> TIllO RENEW.75 INCH 4607 FOREST DR 710119fi75 <br /> WOfk �fd2f NO 20151293 PfOJ2CI Activity Type CORRECTIVE MAINTENANCE SiOfUS CL <br /> Status 615/2C15 Time ia:5e Of191f181 WO 20741174 Billing _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No c 1 • Ext <br /> Second Phone ( 1 • Ext — — — <br /> E-Maii Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Irntiated From <br /> Utihty Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Contracror <br /> Assigned To <br /> Assigned E3y <br /> Assigned Dale ____ To Be Comp Date __ _ <br /> Scheduled Date Scheduled Time ____. _ <br /> Route Route Sequence <br /> Comments <br /> ACt10I1 TBkCIt TRANSFERRED SERVICE. <br /> Recommended Action <br /> Approved By FBL Fisi{Ea, ooeev i. Job Cost Informalion(Y/N) _ <br /> Start Date � � Time Date Completed 7niz0�5 _ Permit No _ <br /> Completed By ___ _ ___ __ ___ Time __ Follow Up? <br />