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� <br /> Work Activity Work Order , ' <br /> IStiucC [3`� CSG CAVANAH,SHANE G. <br /> ISSUed DCpafhneN PW PUBLIC WORKS <br /> D:7iC ISSU(.'C� 70126120�9 - <br /> Fund qot Acc�unt s Program »o Function >» Activity a�s <br /> Program <br /> Tille RENEW 751NCH 327 42ND 5T SW 710119675 <br /> lNOfk OfdC'f NO 20092969 PfOfCCI Activily Type CORRECTIVE IdAINTENANCE SIP.tUS CL <br /> Slalus �oize>rzoos Time �z:s3 Original WO zooezf+�i Rillinc� <br /> Customer Information �iiytorner ld <br /> Cuslomer Name <br /> Address Streel <br /> Apartmenl No City <br /> State Z�P <br /> S�Sdivision Ch�nge Map Y;N <br /> Phone No 1 ) - [xt <br /> Second Phone 1 ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3Y7 Slreet 42ND ST SW <br /> From Cross Screet <br /> To Cross Street ZiP <br /> C��Y Ma Book Map Reference <br /> Subdlvision P <br /> Problem <br /> Sub Problem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Iniliated From Ex iralion Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Information <br /> Dept Priorily Cstimated Hours <br /> Crew <br /> Contrector <br /> Assigned To <br /> Assigned dy <br /> Assigned Dale l o [3e Corrip Date <br /> � Scheduled Date Scheduled Time <br /> I Route Route Sequence <br /> Comment <br /> Action Taken WNN[CTED TO N[W iAAIN <br /> Recommended Action <br /> Job Cosl Informalion(Y/N) <br /> Approved By BGM2 DGl IKGRS,GEORGE M Pg�ii�it Na <br /> Start Dale i i fime Dale Compieted iorzei2oo9 <br /> Completed Dy <br /> Time Follow Up7 <br />