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Work AGtivity Work Order 'a°P 1 <br /> 7/7/2010 13:57 <br /> __ __ -_ . _ ..___--_- _ _._. _--- .—_ <br /> ISSUBd BY CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued e�z�noio <br /> Fund w� Account s Program 7to Function t�s Activity a�s <br /> Program <br /> TIIIO REPAIR.75 INCH 10813 10TH DR SE 710119575 <br /> WOfk OfdBf IVO 20101517 PfOfBCf Activiry Type CORRECTIVE MAINTENANCE Sf8�t15 CL <br /> Status 5i2vzoio Time i52i Original WO _ Billing__ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y!N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext --- — <br /> E-Mail Adclress <br /> --- - — - ------ - - <br /> Problem Infixmation <br /> Address 10813 Street �OTN DR SE <br /> From Cross Street <br /> To Cross �treet <br /> City ZiP <br /> Subdivisiori Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated Fr��m <br /> Utility Loca e (USA) No Called Date Expiration Date <br /> Assignment InPormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned 1'0 <br /> Assigned Ety <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPAIRED LEAK CAUSED BY BOEING TOLL OF VERIZON. SEE CHART fOR MEASUREMENTS. <br /> Recommended Action <br /> Approved By BGM2 3EUKERS, GEORGE M. JOb COSf Ifl(OffT13fI0f1(YIN) <br /> Start Date i _ i Time Date Cornpleted snvzo�o Permit No <br /> - - — - --- <br /> Completed By Time Follow Up? _ __ __ <br />