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Work Activity Work Order Pa9e 1 <br /> 9/1/2015 10:09 <br /> ISSUBd BY CSG CAVANAH,SHANE G. <br /> Issued Departmentaw PUBLICWORKS <br /> Deiei_sued a�snats <br /> Fund aoi Account 5 Program 7to Function t�9 Activity e�s <br /> Program <br /> TIIIC RENEW.75 INCH 4912 FOREST DR 710119675 <br /> Work Order No 20150603 P�OJOCt Activity Type CORRECTIVE MAINTENANCE SfefUS CL <br /> Status 3I512015 Time o�:oa Of191�8I WO 20141174 Billing <br /> Customer Information <br /> Customer N,;me Customer ld <br /> Address Street <br /> Aparlment No City <br /> State ZiP <br /> Suh�iv;�:o,i Change Map YIN <br /> Phcne N�� ( I - Ext <br /> Second "hone ( 1 - Ext <br /> E-Mail Address <br /> Problem iniormation <br /> Address 491Y Street FORESTDR <br /> Fram Cross Street <br /> 1'o Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Dale Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignmcnt Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale ______ To Be Comp Oate ___ <br /> Scheduled Date Scheduied Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken TRAN�FERRED SERVICE. <br /> Recommended Action <br /> Arproved By Fe� FISHLR, E30BFlY L JOb COS� IflfOffll2ll0�(YIN) <br /> Start Date i i Tir�. . Date Compleled �nno�5 Permit No <br /> Completed By_ _ _ _ _ Time _ Follow Up? _ _ _ <br />