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Work Activity Work 4rder �'i��� � <br /> s!zs!zota ...:�� <br /> - - -- - - _ - — — -- —_ _ — ---- _ - - - -- <br /> Issued By CSG CAVANAH,SHANE G. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued anino�a <br /> Fund yot Account s Program »o Function >>y Activity b�s <br /> Program <br /> Title REPAIR 75 INCH 6924 OLYMPIC DR 7101196i 5 <br /> Work Order No z0�4Z684 PfOj2Cf ACilVity TypL CORRECTNE��tAINTENANCE SI2IUS CL <br /> Siatus ai�vzoia Time ie za Original V��O__ _ _ Billing <br /> Customer In(ormation <br /> Custemer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivis�on Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( ) - Ext --- <br /> E-Niad ACdress <br /> Pro6lem Information <br /> Address Street <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 /> Utdity Locate (USA) No Called Dale Expiralion Date <br /> Assignment Information <br /> Dept �noriry EsUmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Dale Scheduled Tlme <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT TO SETTER <br /> Recommended Action <br /> Approved By �,�we ��oo�e_wnRReri e Jeb Cost In(ormation(YiN) <br /> Start Date __i � _ Time __ _ Date Compleled mzizota Permit No <br /> Completed By _ _ _ Time Follow Up7 <br />