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� � � � � �� � �� � � � � <br /> u,� �'�'� � � ' � � . <br /> �i� ,�� ���!�� <br /> Work Activity Work Order ra" 1 <br /> ei;vze:o iz:sa <br /> ISSUCtl By CSG CAVANAH,SNANE G. <br /> issued Department Pw PUB�IC WORKS <br /> Date Issued snsnoto <br /> Fund not Account 5 Program 77o Function ��o Activity 6�5 <br /> Program <br /> Title REPAIR.75 11JCH 1019 PACIFIC AVE 710119675 <br /> Work Order No 20101335 PfOJBCt Activiry Type CORRECTIVE MAINTENANCE St2tUS CL <br /> Status snsi2o�o Time �a:ss Original WO __ Billing __ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartnenl No Ciry <br /> Slate Z�P <br /> Subd�vision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext — ----" <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Stree! <br /> City Z�P <br /> Subdivision Map 800k Map Reference <br /> �'roblem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate(USA; No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assignecl To <br /> Assigned By <br /> Assigned Dale _____ To 8e Comp�iate _ _ <br /> Schedu!ed Date Scheduled Time _ <br /> Roule Route SeGuence <br /> Comments <br /> Action Taken REPLACED SETTCR.INSTALLED NEW SMALL MOLDED METER BO%. <br /> Rec�mmended r�ction <br /> Approved By wp� wEaveR,oenrd�. Job Cost Information(YM) <br /> Start Date � I Time Date Completed �ne�zo�o Permi� No ___ <br /> -- —--- — -- - -— - <br /> Completed By Tir�e Follow Up? _ <br /> �� <br />