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Work Activity Work Order pa9e ' <br /> iz/iz/zoi� e:zo <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Dale Issued tvtsi2ot2 <br /> Fund aot Account s Program rto Funclion t�s Activiry s�s <br /> Program <br /> TIIIB REPA�R.75 1NCH 917 E MARINE VIEW DR 710719675 <br /> Work Order No ZO'IZZBBO Pf0J0C1 Activity Type CORRECTIVE MAINTENANCE S18�U5 CL <br /> StaWs iv�enoiz Time tz2t Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z'p <br /> Subdivision Change Map YIN <br /> Phane No ( ) • Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address 917 Street E MARINE VIEW DR <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 /> Utility Locate (USA) No Cailed Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Dale <br /> Scheduled Uate Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken RCf'LACED 5 FEET 3141NCH POLY ON CUST SIDE.BEDDED PIPE IN SAND. <br /> Recommended Action <br /> Approved By wn� wEnvea,oe^N�. Job Cost Information(YIN) <br /> Start Date � � Time Date Completed ��n5�2ot2 Permit No <br /> Completed By Time Follow Up7 <br />