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Work Activity Work Order pa9e 1 <br /> 1��1��2�12 14:�5 <br /> Issued ey WMW WARD,MICHAEL W. <br /> Issued DepartmentPw PUBucwoRKs <br /> Date Issued envzotz <br /> Fund eot Account s Program �to Function t�s Activity 675 <br /> Program <br /> TIllB REPAIR.751NCH1f22PALMAVE 710119675 <br /> Work Order No 2��22�9� PfOJeCI Activiry Type CORRECTIVE MAINTENANCE S�8tU5 CL <br /> Status enuzotz Time t2:az Original WO Billing <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( > - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Infortnation <br /> Address �gyy Street pALM AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map ReFerence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assfgnment Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken FOUND LEAK ON.75 INCH POLY BETWEEN MAIN 6 S/O.PUT IN.75 INCH INSTA UNION. <br /> Recommended Action <br /> Approved By soc sMirH,onvio c. Job Cost Information(Y/N) <br /> Start Date i � Time Date Completed 9nyzou Pertnit No <br /> Completed By _ _ Time _ Follow Up7 <br />