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Work Activity Work Order Pd9e 1 <br />3/22/2011 10:36 <br />ISSUBd By CSG CAVANAH, SHANE G. <br />Issued Department aw PUBLIC WORKS <br />Date Issued al2aizot� <br />Fund 4ot Account 5 Program »o Function »g Activity 676 <br />Program <br />TitIB REPAIR .75 1NCH 776 NILES AVE 770119675 <br />WOfk OfdBf NO 20110373 PfOjECt Activiry Type CORRECTIVE MAINTENANCE S�eIUS CL <br />Statu= sni2oii Time os:32 Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />AdAress Street <br />Apartment No ��ty <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No ( > - Ext <br />Second Phone ( ) • Ext - <br />E-Mail Address <br />Problam Informatfon <br />Address Street <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map ReFerence <br />Problem <br />Sub Problem <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time _ <br />Route Route Sequence <br />Comments <br />Action Taken NEW 314" POLY, MAIN TO SETTER, EVIDENCE INCONCLUSIVE. NO CHARGES. <br />Recommended Action <br />Approved By SDG SMITH, OAVID G. <br />Start Date I / <br />Compieted By _ _ _ <br />Estimated Hours <br />Job Costlnformation(Y/N) <br />Time Date Completed yse�2o�t __ Permit No <br />Time Follow Up? _ __ <br />