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oay^e 1 <br /> Work Activity Work Order z,6���1, la:;� <br /> ISSUBd By CSG :AVANAH,SHANE G. <br /> Issued DepartmentPw FUBLICWORKS <br /> Date Issued �zianatz <br /> Fund ao� Account 5 Program »o Function iiy Activity 675 <br /> Program <br /> TINB REPAIR.5 1NCH 1701 RUCKER AVE 710119675 <br /> Work Order No Z��ZZ6�3 PfOJOCI ACIiViIy Type CORRECTIVE MAINTENANCE Sl8tU5 CL <br /> Status t2i3rzo�2 Time �2:sz OriginalWO _ Billing __ __ __ ____._ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext _ _ _ ____ <br /> Second Phone ( ) - Ext <br /> E-Mail Address ___- - ---- — — <br /> Problem Information <br /> Address �7p� Street RUCKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book N�2p Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency <br /> Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _____ To Be Comp Date __ <br /> Scheduled Date _ Scheduled Time <br /> Route Route Sequence <br /> INVENTORY MATERIAL IN THE AMOUNT F,�S2�3.05 WAS�JOURNALTZED <br /> Comments �:•. -•.n•� •.� <br /> IN 2072 <br /> Action Taken �NSTALLED SETTER TO CHECK FOR LEAK. NO LEAK. <br /> Recommended Action <br /> Approved By oo� oruszr,onvio�. Job Cost Information(YIN) <br /> Start Date i i Time Date Completed tvtonot2 Permit No <br /> ---- - — — <br /> Completed By Time Follow Up? <br />