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Page 1 <br /> Work A�ctivity Work Order 6�Z7�2013 �5:43 <br /> Is5U2d By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 21612013 Account s Program »o Function �te Activity 675 <br /> Fund 40� <br /> Program <br /> TIilO REPAIR.75 1NCH 4118 CRESCENT AVE 710179675 <br /> Work Order No 20130307 PfOJOC� Activity Type CORRECTiJE'v1AINTENANCE SI2tU5 CL <br /> zmzot3 Time os:a� Original WO Billing____ <br /> Status -- <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Change Map YIN <br /> Subdivision Ext <br /> Phone No � > • ---- <br /> Second Phone ( > - Ext <br /> E-MailAddress — -- <br /> Problem Information <br /> Address 4»g Street CRESCENT AVE <br /> From Cross Street <br /> To Cross Street ZiP <br /> City Ma Book Map Reference <br /> Subdivision P <br /> Problem <br /> Sub Probiem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Information priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To f3e Comp Date <br /> Assigned Date _ ____ --- <br /> Scheduled Date ___ Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPAIRED SERVICE AND CONVERTED TO SETTER WITH METER BOX. <br /> Recommended Action <br /> Job Costlnformation(YIN) <br /> Approved By oo� ow+szr,onvio�. Permit No <br /> Start Date i i Time ____ Date Completed 2mzo�� <br /> ----- <br /> Completed By _ Time Follow U, ____ <br />