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Work Activity Work Order Page 1 <br /> 9/1/2015 10:90 <br /> ISSUBd By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 511 512 01 5 <br /> Fund aa� Account s Program »r Function »y Activity 675 <br /> Program <br /> Title RENEW.75 INCH 4705 FOREST DR 710119675 <br /> Work Order No 20151145 PfOf2C� Activity Type CORRECTIVE MAINTENANCE $12tU5 CL <br /> Status 5I75I2015 Time ia:a� Original WO zoia�na _ Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No f 1 • Ext <br /> Second Phone l ) • Ext <br /> E•Mail 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 /> Indiated From <br /> Utility Locate (USA) No Cailed Date Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned l o <br /> Assigred 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 /> Approved By Fe� FISH[R,BOBBV L JOb COSI IflfOff112I1Of1(Y/N� <br /> Start Date � i Time Date Completed �ivzo�s Permit No <br /> Completed By ___ __ Time _ Follow Up? <br />