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. <br /> Work Activity Work Order ��' <br /> �,,, . _ . �,�:�,� <br /> I55uBd dy WMW WARD,MICHAEL W. <br /> Issued Department pw PUBLIC WORKS <br /> Date Issued an2�2ooe <br /> Fund aot Account s Program ��o Function t�g Activity 68y <br /> Program <br /> Tlll@ 50 B INCH 2208 W CASINO RD 710179664 <br /> WOfk OfdC�PIO Z0�8�649 PfOJ@C� Activity Type CORRECTIVE MAINTENANCE $�BIUS PR <br /> Date en2izooa Time osa� Original WO 2ooeosso dilling <br /> Customer IMormatlon <br /> Customer Name Customer ld <br /> Address Slre�t <br /> Apartment No City <br /> Stale Zip <br /> Subdivision Change Map Y/N <br /> Phone No � � • Ext <br /> Second Phone � 1 • Exl <br /> E-Mail Address <br /> Problem Informatlon <br /> Address yppg Slreet yyCASINORD <br /> From Cross Streel <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 /> Initialed From <br /> Utilily Locale (USA) No Called Uate Expiration Date <br /> Assignment Iniormation <br /> pept Priority Estimated Hours <br /> Crew <br /> Conlractor <br /> �ssigned Ta <br /> Assigned By <br /> Assic�ned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments BILI JOB.COST ESTIMATF FOR NORTH CONNECTION. <br /> Aclior� Taken <br /> Y � <br />