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, <br />=_=_ - <br />Work Activity Work �rcier a,�,;,��; �:;y <br />_ _ _ -_ _ <br />-- — -- - <br />ISSUBd By CSG CAVANAH, SHANE G. <br />Issued Department aw PUBLIC WORKS <br />Date Issued 612412013 Ar,tivit a�s <br />Fund no� Accounts Progrsm ��o Function �te Y <br />Program <br />TIfl2 REPAIR 75 INCH 8413 8TH PL SE 770119675 <br />Work Order No 20131311 Project Activity Type CORRECTIVE MAWTENANCE Sl2fU5 CL <br />Status saarzo�s Time taso OriginalWO _____ _____ Billing _ _ __ __. <br />Customer Information <br />Customer Name <br />Address SVeet <br />Apartment No Ciry <br />State Z�p <br />Subdivision <br />Phone No l > - Ext <br />Second Phone ( ) • Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem <br />Sub Prablem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />AssigneC By To E3e Comp Date <br />Assigned Date _ — <br />Scheduled Date _ _ Scheduled Time __._ <br />Route Route Sequence <br />Comments <br />Action Taken CONVERTED CURBSTUP TO SETTER WITH JUMPER. <br />Recommended Action <br />Approved 6y MWE MOORE, WARREN E. <br />Start Date i � Time __ _ <br />Completed �y <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration D�.te <br />Priority Estimated Hours <br />Job Costinformation(YIN) <br />Date Completed �ivzois_ _._ __ Permit No <br />Time Follow Up? _____ _ <br />