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Work Activity Work Order Page 1 <br /> 9/28/2014 12:47 <br /> ISSUBd 8y CSG CAVANAH,SHAt�E G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued aizvzo�a <br /> Fund ao� Account s Program �ic Function tts Activity e�s <br /> Program <br /> TitlO REPAIR 75 1NCH 4819 SEAHURST AVE 710118675 <br /> Work Order No 20142753 Project Activiry Type CORRECTIVE�dAINTENANCE .S�2�US CL <br /> Stalus arztrzo�a Time t3 os Original WO Billing _ _ _ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Slate Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 • Ext --- — -- <br /> E•Mail Address <br /> Problem Information <br /> Address qg�g Street S�AHURSTAVE <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Requtst <br /> initiated From <br /> Utitity Locale (USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Depl Prioriry Estimaled Hours <br /> Crew <br /> Contracfor <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 REPAIRED SERVICE <br /> Recominended Action <br /> Approved By r�we �d"UORE,WARREN E. JOb COSI I�fOfM8110f1(Y/N� <br /> Start Date r � Time Date Completed ensno�a__ ___ Permil No _ _ <br /> Completed By_ __ _ _ _ _ _ _ _ Time Follow Up? _ <br />