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Work Activity Work Order <br />Page 1 <br />9/28/2014 12:19 <br />ISSUBd By CSG CAVANAH, SHANE G. <br />Issued DepartmentPw PUBLICWORKS <br />Datelssued snanota <br />Fund ao1 Account s Program �to Function »9 Activity 6�5 <br />Program <br />TItIB REPAIR .75 1NCH 7718 LOWER RIDGE RD 710119675 <br />WOfk OfdBf NO 20141656 PfOJBCt Activity Type CORRECTIVE MAINTENANCE Sl8lU5 CL <br />Status ena�2oia Time ia:si Original WG Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone ( ) <br />E-Mail Address <br />ProBlem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Sub�ivision <br />Problem <br />Sub Problem <br />Reques[ed By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date ___ <br />Scheduled Date __ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street <br />Niap Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken INSTALLED SETTER WITH JUMPER <br />Recommended Action <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related F:equest <br />Expiration D< ce <br />Priority Estimated Hours <br />Approved By Ps PEREZ. SERGIO Job Cost Iniormation(Y/N) <br />Start Date I � Time Date Completed ��zv2ota Permit No <br />Campleted By Time Follow Up? <br />