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Work Activity Work Order Pa9` 1 <br /> — - ---- ------- — ---. . <br /> �i/z/zois il:ia <br /> ISSU2d By CSG CAVANAH, SHANE G. <br /> Issued Department Pw pueuc wottKs <br /> Date Issued z�zo�zo�s <br /> Fund aoi Account 5 Program �io Function �tg Activity 6�s <br /> Program <br /> TiUe RENEW 75 INCH 4978 FOREST�R 710119675 <br /> WO�k Ofd2f NO z��5�44� PfOJBCt Activity Type CORRECTIVE MAINTENANCE $fBIUS CL <br /> Status zizoi2oi5 Time i5.i� Original WO zoiaii�a Billing _ <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No ���y <br /> Slate ZiP <br /> Subdivision Change Map Y/N <br /> Phone No l 1 - Ext <br /> Second Phone ( 1 - Ext ---— <br /> E-Mafl Address <br /> Problem Information <br /> Address qg�g Street FOREST DR <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Prablem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Inrtiated From <br /> Ulihty Locate (USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> pep� Prionty Estimated Hours <br /> C rew <br /> Contracror <br /> Assigned To <br /> Assigned By <br /> Assigned Date To 8e Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken TRANSFERRED SERVICE TO 12 DI 8 INSTALLED SETTER WI BOX, 16 FT IEFT OF RIGHT, 25 <br /> FT OUT. <br /> Recommended Action <br /> Approved By RJP RAPELYEA,JASON P JOb COS� IfifO�fT;2ilOf1(Y/N) <br /> Start Date i i Time Date Completed v25no�s Permit No <br /> Completed By _ _ Time Follow Up? _ <br />