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Work Activity Work Order <br />15511Ci' BY WMY! WARD, MICHAEL W. <br />Issuei Uepariment Pw ruouc woaKs <br />Date I: sued c�anoo� <br />Pund 407 llccount 5 Program 710 F-unr.lion 7t9 Aclrvi�y c75 <br />Program <br />TIIIC COhNI'_RIf723[3EVFRLYLN 710119G75 <br />Work Order No 20070493 Projecl nctivily Type coaa[cnve r,t,vNr[rdnNc[ Slatus Nit <br />Dale Eia�zon� Tinw �s a� Original WO &Iling <br />Customer Information <br />Cus�omer Name Customer ld <br />Address Sirect <br />Aparlmenl No Gty <br />Stale Lp <br />Subdivision <br />Phone No 1 i - [xl <br />Second Phonc � � - Exl <br />E-Ma�l Address <br />Problem Intormation <br />�ddress 6�;3z3 Stree� BEVERLYLN <br />From Cross Sireat <br />To Cross Slreet <br />City Zip <br />Subdivision Map E3ook <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Change Map Y/N <br />Map Reference <br />U�ility Locale (USP) No Called Date Expiralion Date <br />Assignmenl Information <br />Dept Priorily <br />Crew <br />Contractor <br />llssi�ned To <br />�ssigned [3y <br />Assigned Date To �e Comp D�Ic <br />Scheduled Date Scheduled 1 ime <br />Roule Route Sequence <br />Commants y G <br />�ction Taken � ` "��'/ � � 7 � ( �� � � �( <br />�-yt11rL�1z..A.9 G'-i��i_J� <br />Dale Requesled <br />Rela�ed Request <br />Estimaled Hours <br />`�'4J�'—�'C/ ,Al�`7 <br />