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i <br /> I <br /> � <br /> Work Activity Work Order page 1 <br /> 2/6/2013 11:00 <br /> ISSU@d By CSG CAVANAH,SHANE G. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued tyi..zotz <br /> Fund aot Account s Program »o Function »9 Activity 6�s <br /> Program <br /> Title REPAIR.751NCH 4812 GARDNER AVE 710119675 <br /> Work Order No 20�22624 PfOj2Cf Activity Type CORRECTIVE MAINTENANCE Ste�US CL <br /> Status iznonotz Time ta:3z Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address — <br /> Probiem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> Ciry 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 Priority 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 INVEIJTORY MATERIAL IN THE AMOUNi30E3233.96 WAS JOURNAlIZED <br /> IN 201'L ��_. <br /> Action Taken INSTALLED SETTER WITH JUMPER AND REMOVED CURB STOP. <br /> Recommended Action <br /> Approved By oo� oRa,szT, �nvio�. Job Cost Information(Y/N) <br /> Star: Date � i Time Date Completed �vtyzai2 Permit No <br /> Completed By Time Foliow Up? <br />