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'�),-�j1i�;�.` <br />.� �� <br />Issued 8y csc <br />Issued Department Pw <br />Date Issued 61812011 <br />� ��1,.� � i :1�1 <br />N� M��'�'�n��� <br />Work Activity Work Order Pa9e 1 <br />s�is�zoii ia:a3 <br />— - -- ___ <br />CAVANAH, SHANE G. <br />PUBLIC WORKS . <br />Fund ao� Account s Program »o Function ��g Activity s�s <br />Program <br />Title RENEW 75 1NCH 4822 RUCKER AVE 710119675 <br />Work Order No ZO�'IOBBZ Project Activity Type CORRECTIVE MAINTENANCE SiBiUS CL <br />Slatus s�eizon Time o9:ot Original WO zo f �_ 7(�, (�_ __ Billing __ __ <br />Customer Infortnation <br />Cuslomer Name <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( 1 - Ext <br />E-Mail Address <br />Problem Information <br />Address Streel <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated from <br />Ulilily Locale (USA) No Called Date <br />Assignment Intormation <br />Dept <br />Crew <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 />Comments <br />Action Taken HAD SETTER, BELLED COPPER TO NEW 8" MAIN. <br />Recommended Action <br />Approved By BGM2 BEUKER3, G[ORGE M. <br />SIaR Date � � Time <br />Compleled By <br />;I f� C� ����1 � I( <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />��C���� <br />AUG 16 2011 <br />Job Cost Information(YIN) <br />Date Completed eivzo�t Pennit No <br />Time Follow U�7 <br />