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Issued By csc <br />Issued DepartmentPw <br />Datelssued aiv2o�a <br />Fund 4ot <br />Program <br />Work Activity Work Order °age 1 <br />5/17/2014 14:92 <br />� � CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Acccunt s Program �io Function tte Activity 6�5 <br />TIil2 CONVERT .75 INCH 3519 ROCKEFELLER AVE 710119675 <br />Work Order No 2014070G PfOJ2Cf Activity Type CORRECTIVE MAINTENANCE <br />Status aivzoia Time ie:is Original WO Billing_ <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />Stale Z�P <br />Subdivision <br />Phone No ( 1 • Ext <br />Second Phone � > • Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />,4gency <br />initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned Tc <br />Assigned By <br />Assigned Date __ _ _ <br />Scheduled Date _ <br />Route <br />Comments <br />Action Taken CONNECTED FLAT TO METER <br />Customer ld <br />Zip <br />Map Book <br />Change Map Y/N <br />Map Ref�rence <br />Called Data Expiration Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Recommeoded Action <br />Approved By RJP RAF[LYGA, JASOY P. <br />Start Date i I Time <br />Completed By <br />Date Requested <br />Related Request <br />Priority Estimated Hours <br />Job Costlnformation(Y/N) <br />Date Compieted araizo�a _ __ <br />Time Follow Up? <br />Sf2fU5 CL <br />Permit No <br />