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Work Activity Work Order Page 1 <br /> 12/2/2015 9:27 <br /> Issued By CSG CAVANAH,SHANE G <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 1 01112 01 5 <br /> Fund 401 Account 5 Program 710 Function 119 Activity s7s <br /> Program <br /> Title CONVERT 75 INCH 722 76TH PL SW 710119675 <br /> Work Order No 20152167 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status 10./2015 Time 1415 Original WO Billing <br /> Customer Information <br /> Customer Name Customer Id <br /> Address Street <br /> Apartment No city <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No 1 ) Ext <br /> Second Phone 1 ) Ext — - --- <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map B^ok Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Dale 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 CONVERTED FROM FLAT RATE TO METER,PER OWNER REQUEST. <br /> Recommended Action <br /> Approved By FBL FISHER,BOBBY L Job Cost Information(Y/N) <br /> Start D.le I I _ Time Date Completed 101612016 _- Permit N_o__ <br /> Compi:iled By Time Follow Up9__ <br />