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i <br /> Work Activity Work Order Pa9e 1 <br /> 7/15/2015 8:24 <br /> ISSUBd By CSG CAVANAH,SHANE G. <br /> Issued Department aw PUBLIC INORKS <br /> Date Issued 31612015 <br /> Fund aot Account s Program 7to Function »y Activity ws <br /> Program <br /> Titte RENEW.75 INCH 4902 FOREST DR 710119675 <br /> Work Order No 20150619 PfOJQCt Activity Type CORRECTIVE MAINTENANCE $�81US CL <br /> Status 3/6I2015 Time orio Original WO 2o�ati�a Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> SPcond Phone l ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address qgpp 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 Prioriry 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 FROM 6"CI TO 12"DI. <br /> Recommended Action <br /> Approved By RJP RAPE_YEA, JASON P. JOb COS� IllfOff112�i0f1(YIN� <br /> Start Dale � i Time Date Completed 315I4015 Permit No <br /> Completed By _ Time _ Follow Up?_ <br />