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Work Activity Work Order Page � <br /> a�z��oi5 iz:io <br /> ISSUEd By � CSG CAVANAH,SHANE G. <br /> Issued DepaRment Pw PUBLIC WORKS <br /> Date Issued z�zono�s <br /> Fund ao� Acccunt s Program »o Function »y Actrvity 6�5 <br /> Program <br /> Title RENEW 75 1NCH 4922 FOREST OR 710ll9675 <br /> Work Order No 2015G440 Project Acliwty Type CORRECTIVE �vfAINTENANCE Status c� <br /> Status 2i2o�2oi5 Time t5oa Original WO zoiaina Bdhng _ <br /> Customer Information <br /> Customer Name Cuslomer la <br /> Address Stree� <br /> Apartment No ��ty <br /> State ZiP <br /> Subdiv�sion Change Mao YIN <br /> Phone No ( 1 - Ext <br /> Second Phone t l - Ext - -- " <br /> E-Mail Address <br /> Problem Information <br /> Address 49PY Street FOREST DR <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdrvision 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 Pnority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To E3e Comp Date _ _ _ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken TRANSFERRED SERV�CE TO 12 DI MAIN AND INSTALLEO SETTER WITH BOX, 15FT LEFT OF <br /> RIGHT 26FT OUT. <br /> Recommended Action <br /> Approved By RJP RAPELYEA, JASON P JOb COS� IflfOffi12f10f1(Y/N� <br /> Start Date i i Time Date Completed zi�sno�s Permit No <br /> Completed By __ Time _ Follow Up? <br />