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Work Activity Work Order ea5� � <br />a/s/zoio is:a9 <br />------ - -- — -- --- — --- - <br />ISSUCd BY CSG CAVANAH, SHANE G. <br />Issued CepartmentPw PUBLICWORKS <br />Datelssued ytnzo�o <br />Fund ao� Account s Program ��o Function »y Activity fi�s <br />Program <br />TIIIC RENLW .75 INCH 4973 S 3RD AVE 710119675 <br />WorkOfderNO 2OiOOA1O ProjECt ACtivifyType CORRECTIVEMAINTENANCE StatUS CL <br />Sf2fUS 2'17f2070 TIITIC 15:15 Of191f181 WU 20093753 Bllllfl9 <br />Custortier Information <br />Cuslomer Name <br />Address SV�at <br />Apartment No Gty <br />State Z�P <br />Subdivision <br />Phone No � 1 • Ext <br />Second Phone ( 1 - Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Slreet <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Informatfon <br />Dept <br />Cre�v <br />Contractor <br />Assigned To <br />Assigned By <br />Map Book <br />Called Date <br />Customer W <br />Zip <br />Change Map Y;N <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Assigned Date _ To 8e Comp Date __ <br />Scheduled Dale Scheduled Time <br />Raute Route Sequence <br />Comments <br />Action Taken CONNECi ED TO NEW MAIN. <br />Recommended Action <br />AppfOVCd By WDL WEAVER, DEAN L. <br />Start Date I I Time <br />CompletedBy __ ___ _ <br />Job Costlnformation(YIN) <br />Date Completed ans�zoto Permit No <br />Time Folluw Up? <br />