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�r� M�T�RIALS <br /> Work Activity Work Order Paqe � <br /> 3/14/2011 15:07 <br /> ISSU@d By ORJ OSBORNH,RICK J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued eu��oto <br /> Fund 4ot Account 6 Program zoo Function �os Activity aa� <br /> Program <br /> TItIC REPAIR L528 PUNIP 762 200109637 <br /> Work Order No 20102253 Project Activiry Type CORRECTIVE MAINTENANCE S181U5 LL <br /> Status e�eizoio TIRIE 1646 Original WO Billing _ <br /> Customer Information <br /> Customer Name LIFT STATION YB Customer ld �s�e <br /> Address 211� Sf�BBf WESTCASINORD <br /> Apartment No ��ry <br /> State Z�P <br /> Subdivision Chant�e Map Y/N <br /> Phone No 1 1 - Ext <br /> Second Phone 1 1 - Ezt -- -- _ <br /> E-Mail Address <br /> --- _ - - <br /> Problem Infortnation <br /> Address °treel <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 Related Request <br /> Iniliated 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 Dale <br /> Scheduled Date Sched�led Time <br /> Route Route Sequence <br /> Comments <br /> Actlon Taken CI.USE WORK ORGER PER RICK 0580RNE <br /> Recommended Action <br /> Approved By oR� OSF30RNE.RICK J Job Cost Information(YIN) <br /> - --_ _ <br /> Start Date � i Time Date Completed s��u2ot� _ Permit No <br /> ------ _ _ _ — <br /> Completed By Time Follow Up7 __ <br /> CJ <br />