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�°!� INATEF�IALS <br /> Work Activity Work Order �-- 1 <br /> ,���. _�.�, _. ,� <br /> - ------ --- -- -- <br /> ___ <br /> ISSUed By ORJ OSBORNE,RICK J. � � <br /> Issued Department pw pUBLIC WORKS <br /> Date Issued aie�zo�o <br /> Fund qo� Account s Program zoo Function �os Activily s33 <br /> Program <br /> TIIIB REPAIR AIRVALVE 200109633 <br /> Work Order No 20100672 Project Activity Type CORRECTIVE ti1AI�TENANCE Status c� <br /> Status _ siaizo�o Time io:so Original WO 000s5esi Billing <br /> Customer Information <br /> Customer Name rsc Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext ---- ------- - <br /> E-Mail Address <br /> Problem Information -- <br /> Address 3134 Street �OMBARD AVE <br /> From Cross Street <br /> To Cros� Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Probiem <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Initiated 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 /> Ass�gned By <br /> Assigned Date To Be Comp Date <br /> -- -- <br /> Scheduled Date __ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CLOSE WORK ORDER PER RICK OSOORNE <br /> Recommended Action <br /> /-1apfOv@d By ORJ _OSF30RNE, RICK J. JOb COSf IflfOffT131i011(Y/N) <br /> Siart Date i Time Date Completed aneizo�o Permit No <br /> Com ieted B <br /> P Y Time Follow Up? <br /> �I I <br />