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Work Activity Work Order Page 1 <br /> 9/28/2014 11 :55 <br /> Issued By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 712712o14 <br /> Fund 401 Accounts Program 710 Function 119 Activity 675 <br /> Program <br /> Title RENEW 75 INCH 4 76TH ST SW 710119675 <br /> Work Order No 20140652 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status 377;014 Time o6 56 Original WO 20130908 Billing <br /> Customer Information <br /> Customer Name Customer Id <br /> Address Street <br /> Apartment No City <br /> Stale Zip <br /> Subdivision Change Map YIN <br /> Phone No I 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 Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Rn!ated Request <br /> Initialed 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 TRANSFEREO SERVICE <br /> Recommended Action <br /> Approved By Rip RAPL•LYEA,JASON P Job Cost Information(YIN) <br /> Start Date I I Time Dale Completed 713112014 Permit No _ <br /> Completed By Time Follow Up? <br />