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Work Activity Work Order <br />Page 1 <br />10/10/2012 14:00 <br />Issued By WMW WARD, MICHAEL W. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued 9NMY012 <br />Fund 4ot Account s Program »o Function t�a Activily e�a <br />Program <br />Title REPAIR.75�NCH 2721 RAINIERAVE 710179675 <br />Work Order No 20122116 Project Activity Type CORRECTIVE AAAINTENANCE Status c� <br />Status snanoiz Time to:�4 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 <br />Second Phone ( 1 <br />E-Mail Address <br />Problem Infortnation <br />Address y�y� <br />From Cross Street <br />To Cruss Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ezt <br />Ext <br />Street Rq�N1ERAVE <br />Problem WATER WATER <br />Sub Problem SO/r0 SHUT OFF OR TURN ON <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Infortnation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ <br />Scheduled Date _ <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken SETTER INSTALLED AND LOCKED OFF <br />Recommended Action <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority EsNmated Hours <br />Approved By Hw HUSBY, uHce �. Job Cost Information(Y/N) <br />Start Date � � Time Date Completed w�uso�s Pertnit No <br />Completed By Time _ Follow Up? <br />