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Work Activity Work Order <br />Page 1 <br />9/29/2010 10:42 <br />ISSUBd By CSG C�YANAH,SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 91212010 <br />Fund qo� Account s Program »o Function »y Activity 6�5 <br />Program <br />Title REPAIR .75 INCH 421 49TH ST SW 710119675 <br />Work Order No z0��238Z PfOJeCf Activity Type CORRECTIVE MAINTENANCE S�8�U5 CL <br />Status _ si2izoio _ Time io:ss Original WO_ ____ Billing __ _ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />R�quested By <br />Agency <br />Initiated 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 Date ___ <br />Route <br />Comments <br />Street <br />City <br />Zio <br />) • Ext <br />) - Ext <br />Street <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Book Map Reference <br />Date Requested <br />Related Request <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken INSTALLED SETTER WITH JUMPER <br />Recommended Action <br />Priority <br />Expiration Date <br />Estimated Hours <br />Approved By wo� WEAVER, DEAN L. JOb COSt If1(OftT18tI0f1(YIN) <br />Start Date __i i__ Time _ _ _ Date Compieted sieizo�o Permit No <br />Completed By _ _ __ _ _ _ _ _ _ Time Follow Up? <br />