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Work Activity Work Order <br />Page 1 <br />s/zs/zoiz iz:io <br />ISSU2d BY CSG CAVANAH, SHANE G. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued a�2sizot2 Activi <br />Fund aot Accounts Program �ta Function �te ty 675 <br />Program <br />Title CONVERT .5 INCH 3 W MARILYN AVE 7107 79675 <br />WO�k OfdBf NO 2��2�6�2 PfOjOCI Activity Type CORRECTIVE MAINTENANCE Ste�US CL <br />Status aizeizoiz Time �a:is Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � � • <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem Information <br />Address 3 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Probl=m <br />Requested By <br />Ayency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Assigned Date _ <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street yyMAR/LYNAVE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken METER INSTALLED 18' R OF L AND 42' OUT. <br />Recommended Action <br />Approved By SDG SMITH, DAVID G. <br />Start Date I I Time <br />Completed By _ _ ____ <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiraticn Date <br />Priority Estimated Hours <br />Job Costlnformation(Y/N) <br />Date Completed uze�xot2 Permit No <br />Time Follow Up? <br />