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Work Activity Work Order ' <br /> : , ;: ,, . . . <br /> IssuedBy H�� HUSBY.LANC[J. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued ei�anois <br /> Fund ao� Accounts Prcgram �io Funct�on >>y AcUwty e�s <br /> Program <br /> TltlE; REPAIR 751NCHP512VIEWCRESiAVE71011�5i5 <br /> WCfk �fdEf NO z��520ZZ PfOJECI Achvity Type CORRECTIVE PdAINTENANCE SI3IU5 CL <br /> Status ano2oi5 Time �a o3 Original WO &Ihng _ _ ____ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No C�ty <br /> State Z�P <br /> Subdivision Change Map YItJ <br /> Phone No � � � Ext <br /> Second Phane '. I • Ezt — <br /> E-Mail Address _ _ <br /> Problem Information <br /> Address Y51y SVeet VIEWCRESrAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z P <br /> Subdiwsion Map Book M2p Relerence <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Inivated From <br /> Uuhty Locate (USA) No Called Dalc Expirabon Date <br /> Assignment Information <br /> Dept Priority Estimated tlours <br /> Crew <br /> Contractor <br /> Assigned 10 <br /> Assigned By <br /> Assigned Date _ io Be Gomp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ActionTaken REMOVED.751NCHCURDSTOPANDINSTALLED.751NCNSC-TTcRWITH,IUf���ERANDBOJ(. <br /> WE WERE WOrZKING ON 2506 VI[WCRESTS SHUTOFF AND THIS nN[WAS IN THE SAME 110LE <br /> SO WE INSTALL[D SETTER VJHILE WE HAD IT EXCAVATEO. <br /> Recommended Action <br /> Approved By En� eaicKsoN F.NOHe�v� Job Cost Informal�on�Y/N) <br /> Start Date � i T�me Date Com�deted 9noao�e Permd No <br />