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NO MA���IALS <br />Work Activity Work Order <br />?a9e 1 <br />6/3/2010 8:40 <br />ISSUed By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 3I20I2010 <br />Fund ao� Account s Program �to Function t�y Activity 6�5 <br />Program <br />Title RENEW .75 INCH 123? 50TH ST SE 710119675 <br />WO�k Ofde� No 20100731 PtOjBCt ACilVlfy Type CORRECTIVE MAINTENANCE StetUS CL <br />Status srzano�o Time os:3e Original WO 2oioo55a Biiling_ _ <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 1231 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested 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 />Zip <br />Ext <br />Ext <br />Street SOTH ST SE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken BELLED COPPER NO PARTS. CONNECTED TO NEW MAIN. <br />Recommended Action <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority <br />Estimated Hours <br />Approved By BGM2 DEUKERS, GEORGE M. JOb COS� IflfOfRletlOfl(Y/N) <br />Start Date i � Time _ Date Completed 3@6@010 Permit No <br />Completed By ___ ___ Time __ Follow Up? <br />