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Work Activity Work Order Pa9e 1 <br /> 7/7/2010 13:24 <br /> lssued By csc CAVANAH,StlANE G. <br /> Issued Departmentaw PUBLICWORKS� <br /> Date Issued eizvzo�o <br /> Fund ao� Account 5 Frogram »o Function »y Activity e�s <br /> Program <br /> Title REPAIR 7210 6TH AVE W 770119675 <br /> Work Order No 20101533 PCOJBCf Activity Type CORRECTIVE MAINTENANCE Sf0�U5 CL <br /> Statw enz�2oio Time i2:os Original�VO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 7Y10 Street 6THAVEW <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map R�ference <br /> Problem <br /> Sub Problem <br /> Requested 8y Date Requested / <br /> Agency Related Request ( <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <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 SETTER WIJUMPER INSTALLED 38'SOUTH 8 48'EAST OF S.E.CORNER. <br /> Recommended Action <br /> Approved By JJM �ESMER,JEFFREY M. JOb COSI IflfOffll8110f1(Y/N) <br /> Start Date � � Time Date Completed 6123I2D10 Permit No <br /> Completed By Time Follow Up? <br />