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Work Activity Work Order <br />Page 1 <br />a�i5�zoii ia:5� <br />ISSU?d By CSG � CAVANAH,SHANE G. <br />Iss�ed DepartmentPw PUBLICWORKS <br />Dute Issued s�enott <br />Fund qot Accounts Program �to Function tt9 Activity e7s <br />Program <br />Tllle RENEW.751NCH4971RUCKERAVE710119675 <br />WOfk OfdBf NO ZO'I'IOBT4 PfOJ2Cf Activity Type CORRECTIVE MAINTENANCE Sf8Y115 CL <br />Status eieizo�� Time oe:as _ Original WO zO// 0%�> ; Billing ._____ -- _ <br />Customcr Information <br />Cuslomer Name <br />Address <br />ApartmentNo <br />Slate <br />Subdivision <br />Phone No � <br />Second Phone ( <br />E-Mail Address <br />Problem Iniormation <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Probiem <br />Requested By <br />Agency <br />Iniliated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ _ <br />Scheduled Uate ___ <br />Route <br />Comments <br />Street <br />c�ty <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 YIN <br />Zip <br />Map Reference <br />Date Requested <br />Reiated Request <br />Expiration Date <br />Priority Estimated Hours <br />----- Z����33,��� <br />-- ���� ;% � ���� <br />Action Taken RENEWED 374" SERVICE FROM MAIN TO NEW SETTER W 314" POLY 8 TRACE WIRE. <br />Recommended Action <br />Approved 8y 8GM2 �EUKERS, G[ORGE M. <br />Start Date I � Time __ _ <br />Completed Dy-- - --- — -- ----- <br />Job Costlnformation(YIN) <br />Date Completed aiv2ott _ Penroit No <br />Time Follow Up7 __ <br />