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Work Activity Work Ord�r <br />Page � <br />8/6/2012 15:29 <br />Issued By CSG CAVANAH, SHANE G. <br />Issued Department rw PUBLIC WORKS <br />Date Issued e�2o�zotz <br />Fund aot Acca� d s Program �to Function »9 Activity s�s <br />Program <br />Tltl@ REPAIR .75 INCH 8618 4TH PL SE 710719675 <br />Work Order No 20120905 PfOJBCf �ctivity Type CORRECTIVE MAINTENANCE Sl8fU5 CL <br />Status e�zono�z Time iz:oa Original�NO Billing <br />Customer Infortnation <br />Customer Name <br />Address <br />Aparlment No <br />State <br />Subdivision <br />Phone No � � - <br />Second Phone l 1 - <br />E-Mail Address <br />Problem Information <br />Address 8618 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Probtem <br />Sub Probiem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <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 4TH PL SE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequeoce <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority F_stimated Hours <br />Action Taken REPLACE .75 INCH CURBSTOP WITH NEW .T51NCH SETTER, JUNIPER AND BO%. <br />Recommended Actlon <br />Approved By HLJ Huser, �nNCE �. Job Cost Information(YIN) <br />Start Date i � Time Date Completed si2oizotz Permit No <br />Comple!ed 3y __ ____ Time _ Follow Up7 __ <br />