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Work Activity Work Order <br />Page L <br />e/is/zoii is:i6 <br />I:SUBd By CSG CAVANAH, SHANE G. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued eiei2ott <br />Fund ao� Account 5 Program �to Function ��e Activity s�s <br />Program <br />TIf�O RENEW .751NCH 1503 50TH ST SE 71D119675 <br />Work Order No 20110868 PfOf2Ct Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br />Status s�eizo>> Time os•es original Wo Z�'llC Jl�>�f� Billing _ <br />Customer Informati�n <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 />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 />Er.t <br />Ext <br />Street <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />I�U� � 5 2011 <br />Action Taken CONVERTED OLD SERVICE TO NEW POLY SERVICE WIMETER BOX, SETTEF2 WIJUMPER FROM NF.W <br />DI MAIN. <br />Recommended Action <br />Approved By BGM2 BEUKERS, ceoRce M. Job Cost Information(Y/N) <br />Start Date � i Time Date Completed e�vzo�� Permit No <br />Completed By __ Time _ 'rollaw Up7 _ <br />