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Work Activit Work Order '��` �` <br />Y ��a,�aoi� _s��3 <br />ISSllOd BY CSG CAVAN 1H, SHANE G. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued 2iaizo�3 <br />Fund aot Account 5 Program �io Function »9 Activity e7s <br />Program REPAIR .75 INCH 2O21 LEXINGTON AVE 710115675 <br />Title <br />Work Order No z�� 3�Z�a PfOJBCI Activity Type CORRECTIVE MAINTENANCE Sfatll5 CL <br />Status ziai2oi3 Time o9:ta Original WO __ Billing _ _ <br />Gustomer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone l ) - Ext <br />E-Mail Address <br />Prohlem Informatian <br />Address Y021 Street LEXINGTON AVE <br />From Cross Street <br />To Cross Street <br />��tY Map Book <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utiliry Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />P.ssigned To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date _ Scheduled Time <br />Route Route Sequence <br />Comments <br />ACtlOtl TekCfl REPAIRED SERVICE. SERVICE'NAS NOT LOCATED. <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Refc-rence <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Recommended Action <br />Approved Dy oo� oRasz'r, Dnvio �. Job Cost Information(Y/N) _ <br />--- <br />Start Date � � Time __ Date Completed vaizo�a __ Permit No <br />---- — __ — <br />Complet�d By Time Follow Up? ____ __. _ <br />