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Work Activity Work Order Page ' <br /> a�2o�zoi5 i4:o5 <br /> ISSUEd BY CSG CAVANAH,SHANE G. <br /> Issued DepartmentPw PUBLIC WORKS <br /> Date Issued 31612075 <br /> Fund ao� Account s Program �to Function �ty Activity e�s <br /> Program <br /> TIfIe RENEW.751NCH 4818 FOREST DR 710179675 <br /> WOfk OfdEf NO 2��506Z� PfOJeCt Activity Type CORRECTIVE MAINTENANCE S�efUS CL <br /> Status 3/612075 Time o�:�i Original WO zotau�a Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ry <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Sfreet <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Re(erence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utilily Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assgned 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 /> Approved By Fe� FisHeR,ooeav� Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed nv2o�s Permit No <br /> Completed By ___ _____ ' Time _ Follow Up? _ <br />