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Work P:ctivity Work Order <br />_ _ _– -- <br />— --- -- <br />—__.__ <br />ISSUEd By WMW WARD, MICHAEL W. <br />Issued Department aw PUBLIC WORKS <br />Page 1 <br />io/zo/zoii is:oa <br />Date Issued s�tizot� Activi <br />Fund aot Account 5 Program �to Function �te ry B�s <br />Program <br />TIIIB REPAIR.751NCH %� �4 LOWER RIDGE RD 710119675 <br />Work Order No 7.0112148 PfOJ'�Cl 9 -- --_ AC�IVIty TYPB CORRECTIVE MAINTENANCE StBIUS CL <br />Status smzoii__Timeiz:oz__ _Ori inalWO Billing____ __ _ _ <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Z�p <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) • Ext <br />E-Mail Address <br />Problem In'armation <br />Address ���q Street LOWER R/DGE RD <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />d8 <br />Map Book <br />Called Date <br />Assigne y To Be Comp Date <br />Assigned Date _ <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken INSTALLED SETTER ANU JUMPER. <br />Recommended Action <br />Approved By SDD2 STALLINGS, DUNALD D. <br />Slart Date _ _ _I � __ _ Time <br />Completed By__ _ _ _ <br />Cusiomer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Costlnformation(Y/N) <br />Date Completed eizvzoti Permit No <br />Time Follow Up? <br />