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Page 1 <br /> Work Activity Work Order ��z7�z013 �5:5� <br /> ISSU2d By WMW WARD,MICHAEL W. <br /> Issued DeparlmentPw PUBLICWORKS <br /> Date Issued y1912013 Account s Progrem ��o Function t�s Aciivity e�s <br /> Fund ao� <br /> Program <br /> TitIB REPAIR.75 INCH 406 VERALENE WAY SW 710119675 <br /> WOfk Ofd2f No 20130470 PfOJBCf Acti��iry Type COftRECTIVE MAINTENANCE St8Il1S CL <br /> Status zn9r2oi3 Time t3:3o 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 ( � " Ext - - - - <br /> Second Phone � 1 - <br /> E-Mail Address <br /> Problem Informatian <br /> Address 406 Sireet VERALENE WAY SW <br /> From Cross Street <br /> To Cross Street ZiP <br /> City Map Book Map Re(erence <br /> Subdivision <br /> Problem <br /> Sub Problem Date Requested <br /> Requesled By Relaled Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locale (USA) No Called Date P <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractcr <br /> Assigned To <br /> Assigned By To Be Comp Uate <br /> Assigned Date <br /> Scheduled Date _ Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVGRTED TO SETTER WITH JUMPER AND BOX. <br /> Recommended Action <br /> Approved By RJP w`•NELYEA.JASON P. JOb COSI IflfOffll8tl011(Y/N� <br /> — Time Date Completed 2/19@013 Permit Ko <br /> Start Date I � _ - - <br /> Completed By - Time Foilow Up7 - <br />