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Work Activity Work Order `°`� ' <br /> ��r.si[o: . ._ �. ;,e <br /> - ------ ----- ----- � - ----�----� - - - - � -� - � - --- -- -- - -- �- -- _ ... --- _. <br /> Issued By WOL WEAVER,DEAN L <br /> Issued DepartmentPw PUBLICWORI;S <br /> D2tG ISSu2d 6H12015 <br /> Fund eot Accoun[ 5 Proaram 7io Function >>g Actiwty 675 <br /> Program <br /> TiUe REF11R 751NCH 420 VERALENE WAY SW 710119675 <br /> Work Order No ZD�S�Z36 �fOf2Cl Act�vity Type CORRECTIVE MAINTENANCE $IBfUS CL <br /> Status _ _ snrzo�s_ _ Time �ooe Origmal WO ____ __ Billing _ ____ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z�p <br /> Subdiwsion Chanr,e Mao Y/N <br /> Phone No � � • Ext <br /> Second Phone 1 ) • Ext -- _' - - - - - - - " - <br /> GMail Address <br /> Problem Information <br /> Address qyp Streel VERALENE WAY SW <br /> Fram Cross Street <br /> To Cioss Slreet <br /> City Zp <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Prablem 01HER OTHER <br /> Requested By Da�e Requested <br /> Agency Related Request oo�avei <br /> Indiated From <br /> Utihry Locate(USA) No Called Dale Exptration Date <br /> Assignment Information <br /> Dept Pnonty EsUmated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assignrd Dafe 1'o Be Comp Dale <br /> Scheduled Date Scheduled Time _ _ __, <br /> Reute Route Sequence <br /> Comments <br /> Action Taken REPLACE0.751NCH CURBSTOP WITH JS INCH SETIER,JUI1�1'ER, AND BOX. <br /> Recommended Action <br /> Approved By wo� WEAVER.DEAN L Job Cost In(ormation(YiN) <br /> Start Dale i i Time Date Comp!eted s�vzo�s Permit No _ <br /> - - - -- <br /> Completed Dy _ _ Time Follow Up? <br />