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Work Activity Work Order <br />Page � <br />B/20/2015 13:32 <br />ISSU2d By CSG .:AVANAH, SHANE G. <br />Issued DepartmentaW PUBLICWORKS <br />Datelssued anvzo�s <br />Fund aot Account s Program �to Function »y Aclrvity 675 <br />Program <br />Titte REPAIR .751NCH 2602 HARRISON AVC 710119675 <br />WO�k O�d2f NO 2��5���6 PfOj2Gl ACtivity TypB CORRECTIVE MAINTEN�NCE St21US CL <br />Status anvzois Time �e i5 Original WO _ Billing <br />Customcr Information <br />Cuslomer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 - <br />Second Phone ( > - <br />�-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Inihated From <br />Utdity Locate (USA) Nu <br />Assignment Information <br />Dept <br />Crew <br />Conlractor <br />F�ssigned To <br />Assiyned E3y <br />Assigned Date ______ <br />Scheduled Date ____ __ <br />Rouie <br />Comments <br />Action Taken REPAIRED SERVICE. <br />Street <br />City <br />Zip <br />Ext <br />Fx; <br />Sireet <br />Called Date <br />To Be Comp Dale <br />Scheduled Time _ _ <br />Route Sequencc <br />Custumer id <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority <br />Estimated liours <br />Recommended Act:�n <br />/1pp�Oved By MWE MOORE, WARREN E. JOb COSI IfllOffll8�i0�(Y;N) <br />Start Date � � Time Date Completed n�rzots Permit No _ <br />----- -- -- - — <br />Completed By ___ _____ Time Follow U <br />--- --- P -- - --- — <br />