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Work Acti�rity Work Order <br />ISSUCd By WMW WARD, MICHAEL W. <br />Issued Deparlmenl rw PUOLIC WORKS <br />Dale Issued ena�zoo7 <br />Fund aot Accounl s Program »o Funclion ite Activiry 675 <br />Program <br />TiUC CONVERT G715 EAST OR 710119G75 <br />Work Order No Z0070513 Project Activiry Type CORRECTN[ PdAWTEN�NC[ Status rtt <br />Dale �rivzoo� Time or.ta Original WO Billing <br />Customer I�formation <br />Cuslomer Name Customer ld <br />Address Streel <br />Aparlmenl No Ciry <br />Slale Z�� <br />Subdivision <br />Phone No ( i • Ext <br />S�cond Phone ( 1 • Exl <br />E-Mail Address <br />Problem Information <br />Address g»5 Slreet EASTDR <br />From Cross SUeel <br />To Cross Slreel <br />City Z�n <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locale (USA) No Called Dale <br />Assignment Informa[ion <br />Dept Priority <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />�ssigned Dale To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Roule Sequence <br />Comments / //� j `` _ <br />/' �/p! ��.,,..�t � f �" lz' <br />Aclion Taken <br />��,�— 5'°`L���- _ _ --- — — <br />Change Map YIN <br />Map Re(erencc <br />Date Requesled <br />Reiated Request <br />Expiralion Date <br />Eslimaled Hours <br />�l ��c T� 6—/4—�7 <br />