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Work Activity Work Order <br />Page 1 <br />12/20/2014 12:29 <br />ISSUBd By CSG CAYANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued msizou <br />Fund �ot Account s Program »o Function �iy Activity 673 <br />Program <br />TIIIE �°P��E 8 INCH VALVE 3B38 RUCKER AVE 710119673 <br />Wark Order No 2��423ZZ PfOjBC� Activiry Type CORRECTIVE MAINTENANCE St8fU5 CL <br />Status �n5izo�a Time �si5 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />Stale <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-Mail Address <br />Problem In(ormation <br />Address <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Infonnation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date ,_ <br />Route <br />Comments <br />Action Taken REPLACED VALVE. <br />Recommended Action <br />Approved By RJP <br />Start Date � <br />Completed By <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y1N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Da;e <br />Priarity <br />Estimated Hours <br />'r� � �,:;, i1Z ,�,i � i �.: i� �` �': <br />anpe�ven, �nsoN a. Job Cost Information(Y/N) <br />� Time Date Compieled 91912tlt6 Permit No <br />Time Follow Up? <br />