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Work Activity Work Urder Pa9e 1 <br /> 9/21/2013 :1:29 <br /> _..__— __.__ . _ . _. <br /> ISSUBd Ry �CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued nzsr_ou <br /> Fund ao� Account s Program »o Function i�y Activity e�e <br /> Program <br /> Title RENEW.75INCH 11924 SILVER WAY 710119675 <br /> WOfk Ofd2� NO 20131537 P�OJOCf ACliVity Typ@ CORRECTIVE MAINTENANCE StdiUS CL <br /> StatUS 712 612 01 3 TIO'18 07:37 Ofi If121 WO 20131375 Bllllfl9 . __ _ _. ___ . <br /> _ _ <br /> Customer In(ormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext __ _ __ <br /> Second Phone ( ) • Ext <br /> E-Mail Address __ ----- <br /> Problem IniormaHon <br /> Address »g24 Street SILVERWAY <br /> From Cross Street <br /> To Cross Street <br /> Ciry zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> �ept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assiqned Date To Be Comp Date <br /> Scheduled Date _ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONNECTED SERVICE TO NEW MAIN. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J. JOb COSl If1�Offll8l1011(YIN� <br /> Start Date / � Time Date Completed sm2ots _ _ _ Permit No __ <br /> -- - - <br /> Completed By _ _ __ _ Time Follow Up?_____ <br />