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NO MATERIALS <br /> Work Activity Work Order Page � <br /> ������o�z �o:zz <br /> ISSUOd By ORJ OSBORNE,RICK J. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued 1Z/7614010 <br /> Fund eo� Account s Program xoo Function �on Activity eaa <br /> Program <br /> 1�itIC I�PGRADE LS29 ELECT 8 CONTROLS 200109673 <br /> WOfk C�fdOf NO 20��Z��S Project Activity Type CORRECTIVE MAINTENANCE StOfUS CL <br /> Stah�s �znznoio Time taae Original WO Billing_ <br /> Customer Information <br /> Customer Name LIFT STATION 29 CUSfOrt12f Id LS29 <br /> Address z7u Street w cnsu+o ao <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No � � • Ext <br /> Second Phone � � • Ext <br /> E-Mail Address <br /> Probtem Information <br /> Address 2;yy Streel yyCASINO RD <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivis�on Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Initiated From <br /> UGlity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequenc? <br /> Comments <br /> Action Takon CLOSE FOR YEAR END <br /> Recommended Action <br /> Approved By DMJ DOUCETTE.MARK J JOb COSt If110fR10IlOf1(YIN� <br /> Start Date � � Time Date Completed tn�2ou _ Permit No <br /> Compleled By Time Follow Up9 <br />