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�Q �i�TERIALS <br />Work Activity Work Order <br />Page 1 <br />1/11/2012 10:35 <br />ISSUed By ORJ OSBORNE, RICK J. <br />Issued Department aw PUBLIC WORKS <br />Date Issued wsi2otl <br />Fund qat Account 5 Program Zao Function tos Activity 673 <br />Program <br />TitIQ REPAIR / RFPLACE PUMP LS 41 200709633 <br />Work Order No 2�� �249� P(OJECI Activity Type CORRECTIVE MAINTENANCE SfB�US CL <br />Status uieno�i Time o�:z3 Original WO _ Billing ____ <br />Customer Information <br />Customer Name <br />Address ao�5 <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) • <br />Second Phone ( > - <br />E-Mail Address <br />Problem Information <br />Address 4015 <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignirient Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ <br />Scheduled Date <br />Route <br />Comments <br />SIfBBt RAILWAY AVE <br />City <br />Zip <br />Ext <br />Ext <br />Street RAILWAY AVE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld Lsat <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken RESEARCH LED TO INSTALATION OF PROPER TYPE OF RELAY TO CORRECTLY REFLECT <br />CONDITON OF MOISTURE METER, INSTALLED AND CORRECTEO WIRING AND DIAGRAM. <br />RCCOrt1rtlBild@d ACtlOtl CLOSE FOR YEAR END <br />Approved By DMJ DOUCETTE, MARK J. <br />Start Date � i Time <br />Completed By <br />Date Completed <br />Time <br />Job Costlnformation(YIN) <br />uvzou _ <br />Follow Up? <br />Permit No <br />