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Work Activity Work Order <br />ISSllOdBy CSG CAVANAH,SHANEG. <br />i d De artmentPw PUBLICWORKS <br />Page L <br />ens�zoii ia:so <br />ssue p <br />Date Issued e�e�zo�t Activi <br />Fund no� Account s Program �to Function t�e ry a�s <br />Program <br />TIIIE RFNEW 75INCH 4818 RUCKER AVE 770N9675 <br />WOfk OfdOf NO 20110883 PfOJPCI Activity Type CORREGTIVE MAINTENANCE St8iU5 CL <br />Status 6I82011 Time oe:os Original WO , _ Billing_ ______ ___ ___ _—_ <br />----- ---- -- <br />- -- --- ZC?l�C�%E,�- <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � <br />Second Phone ( <br />E-Mail Address <br />Problem Informaifon <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Dale ____ <br />Scheduled Dale ____ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />) _ Cxt <br />) � Ext <br />Street <br />Map Book <br />Called Date <br />To Be Comp Date __ <br />Scheduled Time _ <br />Route Sequence <br />Customer id <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Rel2ted Request <br />6xplration Date <br />Prior:ty Estimated Hours <br />Action Taken INSTALLED SETTER 12" BELLED COPPER TO NEW 8" MAIN. <br />Recommended Action <br />Approved By BGM2 gEUKERS,GEORGE M. <br />Stari Date i �_ Time <br />Compteted By <br />��C��� <br />���ir, �a2Q11� <br />Job Costinformation(YIN) <br />DateCompleted eivzo�t PermitNo_ <br />lime FollowUp?_____.__ <br />