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WQrk Activity 1Nork Order pa9e 1 <br />8/"e9/2011 13:39 <br />__ ___ . _ ._.' _ ._. _. __.__'__._____ _.. _______— <br />ISSUBd By CSG CAVANAH, SHANE G. <br />Issued Department aw PUBLIC JVORKS <br />Date issued e�erzo�� <br />Fund qo� Account 5 Frogram »p Function tts Activity s�5 <br />Program <br />Tltl@ REPAIR .75 1NCH 3005 52ND PL SW 770119675 <br />Work Order �0 20111612 PfOJ2Ct Activity Type CO4RECTIVE MAINTENANCE Sf8fU5 CL <br />Status e�enott Timeit:n OriginalWO Billing_____ ___ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext <br />Second Fho; ie ( ) - Ext - - _ __ -- -_ _ <br />E-Maii Address <br />Probiem Information <br />Address 3005 Street 52ND PL SW <br />From Cross Street <br />To Cross Street <br />City Z�P <br />Subdivision Map Book Map Reference <br />Problem <br />Sub Problem <br />Requested By Date Requested <br />Agency Relate� Request <br />Initiated From <br />Utility Locate (USA) No Cailed Date Expiration Date <br />Assignment Information <br />Priority Estimated Hours <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time _ <br />Route Route Sequence <br />Comments <br />Action Taken CUT OUT PIECE OF .75 INCH COPPER AND REPLACED WITH .75 INCH POLY 8 TRACING <br />WIRE. CONVERTED SERVICE T0.751NCH SETTER, JUMPEP. AND BOX. <br />Recommer.ded Action <br />AppfOVBd By HLJ HUSBY, LANCE J. <br />Start Date i i Time <br />_ _ --- - <br />Compieted By _ <br />Job Cost Information(Y/N) <br />Date Completed a�e�2o�� Permit <br />Time Follow Up? <br />