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Page 1 <br /> Work Activity Work Order 11„6,2011 8:39 <br /> ISSU2d By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �onei2a�� Function ��y Activity 675 <br /> Fund eot Accounts Program �ta <br /> Program <br /> TItlB REPAIR.75 INCH 9506 2ND AVE SE 710719675 <br /> WOfk Ofd@f NO 2���24�2 PfOJBCI Activity Type CORRECTIVE MAINTENANCE Sl8It15 CL <br /> StaWs ione�zo�i Time oe:io Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext <br /> Second Phone ( > - Ext <br /> E-Mail Address <br /> Problem Infarmation <br /> Address 9506 Streel yND AVE SE <br /> From Cross Street <br /> To Cross Slreet <br /> City Z�P <br /> Subdivisio� Map Book Map Referenc= <br /> Problem <br /> Sub Problem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date <br /> Scheduled Dale Scheduled Time <br /> Raule Route Sequence <br /> Comments <br /> Action Taken INSTALLED SETTER AND JUMPER PER GO SYNC MEASUREMENTS. <br /> Recommended Action <br /> Approved By WDL WEAVER,DEAN L JOb COSI It1f0�R18IiOf1(Y/N) <br /> Start Date i � <br /> Time Date Compleled toizoi2ot� Permit No <br /> Completed By Time Follow Up? <br />