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Work Activity Work Order <br />Page 1 <br />iz/lz/zoiz �:si <br />ISSU@d BY CSG CAVANAH, SHANE G. <br />Issued Department rw PUBLIC WORKS <br />Date issued tuti2ot2 Activi 876 <br />Fund �ot Account s Program »o Function t1e �Y <br />Program <br />Title CONVERT .751NCH 2715 RAINER AVE 710119675 <br />Work Order No 20122515 Project Activity Type CORRECTIVE MAINTENANCE <br />Status tv2no�z Time i4:o� Original WO Billing____ __ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � � - <br />Second Phone � � - <br />E-Mail Address <br />Problem Infortnation <br />Adres <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assigoment Infortnation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date _. ___ _ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Stree <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Actfon Taken INSTALLED SETTER WITH METER. <br />Recommended Action <br />Approved By s�G <br />Start Date i <br />Completed By <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Status c� <br />sMirH, onvio c. Job Cost Information(Y/N) __ <br />� Time Date Completed �tl�2ots _ Permit No__ _ <br />---- - -- --- Time Follow Up9 _ -- — <br />