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VIlork A�t�vity INQrk Order <br />�,:� . <br />�������,_y 1,:�� <br />ISSUEL� By CSG CqVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued sm2ota <br />Fund qo� Accounts Pro9ram ��� Function »y Activiry s;s <br />Program <br />TitIB F`-PA�R.75WCH86153RDDRSE7701196i5 <br />WOfk Cfdef NO 20140523 PfOjBCI ACtlVlty TypO CORRECTIVE MAINTENANCE St2iJ5 CL <br />Status _ 3izrzoia Time tE:i3 Original WG_ Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-I�ail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utihty Locate (USA; No <br />Assignment Inronnation <br />o���� <br />Creer <br />Contractor <br />Assigned To <br />Assigned By <br />Assignea Date <br />:>cheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />1 - Ext <br />> • Ext <br />�tr et <br />Map Book <br />Called Date <br />To fse Comp Date <br />Scheduled Time <br />Roi�te Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map P.eference <br />Date Reo�ested <br />Related F��quest <br />Expiration Date <br />Priorty Estimated Hours <br />Action Taken REPLACflU CONTRl,CTOR PACK JOP,�T N9TH COPPER'UB[ NUT AND INSTAIITE. <br />Recommended Action <br />AppfOVOd By RJP RAPELYEA,.;nsora ��. Job Cost Information(Y/N) <br />S�art Date � r Time Date Completed 3/Z/2074 <br />Compieted Ry Time Follow Up? <br />Permit No <br />