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Work Activity Work Order <br /> ISSU2d By WMW WARD,MICHAEL W. <br /> Issued Department aw PUBLIC WORKS <br /> Dale Issued 3i2v2ooa <br /> Fund aot Account 5 Program »o Function i�9 Activily c�s <br /> Program <br /> TIUC COWERT 2119 LOMBl�RD AVE 710119675 <br /> Work Order No 20080240 Projecl Acliviry Type cortRecriv[ r.�n�tirer�nr.ce Stalus PR <br /> Da�e 3izvzoon Time o5:5s Original WO Billing <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z�P <br /> Subdivision Cliange Map Y/N <br /> Phone No f 1 - Exl <br /> Second Phone 1 ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Z��g Strcel LOMBARDAVE <br /> From Cross Slreel <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map [3ook Map Re(erence <br /> Problam <br /> Sub Probiem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Uliliry Locale (USA) No Called Date Expiralion Dafe <br /> Assignment Information <br /> Dept Prio�ity Eslimated Huurs <br /> Crec: <br /> Conlraclor <br /> Assigned To <br /> Assigned [3y <br /> � Assigr.ed Dale To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> � Roule Route �equence <br /> Comments <br /> Adion �iaken y� <br /> !�'l Lf'�(..'`�! � V � � ��/� � / i-y"�lQ-i-��� u '�G`' G- l ��, i _,9 <br /> r <br /> Ci'c« <br /> � <br />