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Work Activity Work Order Y3=� ' <br /> 9/�s/zo;; ii :o? <br /> Issued By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued sr2Z2ot4 <br /> Fund aoi Account s Program �to Function iiy Activiry 6)3 <br /> Program <br /> Titte REPAIR 721NCH 1214 HEWITTAVE 710179E73 <br /> Work Order No 20141193 f�fOJOCf Activity Type CORRECTIVE M�INTENANCE $10iU5 '! <br /> Status _ srzzrzoia Time ia:oz Original WO Billing _ _ _ __ __ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) • Ext <br /> Second Phone ( ) • Ext —' ---- - <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> Utiliry 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 Dale __ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED SAD�LE WITH PLUG. <br /> Recommended Action <br /> Approved By RJP �PELYEA,JASON P. JOb COSt I�fOff118110f1(YIN) <br /> Start Date r � Time Date Completed sivizo�a Permit No <br /> Completed By_ _ __ _ __ _ Time Follow Up? _ _ <br />