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Work Activity Work Order Page 1 <br /> 9n�zois io:az <br /> ISStled BY CSG CAVANAH,SHANE G. <br /> Issued DepartmentPw PUBLICWORNS <br /> Date Issued SN912015 <br /> Fund aoi Account 5 Program »o Function »y Activity e75 <br /> Program <br /> TIIIB RENEW.75INCH 4701 FOREST DR 710179675 <br /> WO�k UfdOf NO 20151161 PfOJ@Ct Activity Type CORRECTIVE MAINTENANCE SfBtUS CL <br /> Status 5/19/2075 Time �5 za Of191�8I WO 20141174 Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Slate Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Intormation <br /> Address 4601 Street FOREST DR <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 /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> 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 TRANSFERRED SERVICE. <br /> Recommended Action ' <br /> AppfOVC�d By FBL FISH[R,BOBBY L. JOb COSf 111fORil2tI0f1(Y/N) <br /> Slart Date � i Time Date Completed 711I2015 Permit No <br /> --- -- — -- <br /> Completed By Time _ Follow Up? _ <br />