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', 1 r.'i (i':l' 1 � I•_�b r I ii � . F„°� V O � �\� <br /> C�'u' �i a'J:'k3� 'r8'! ey's�� 'c�.�,����� � <br /> Work Activity Work Order ��`;� ' <br /> 5/i6/2015 1':30 <br /> ISS�Ed By SRA SORGEN,ROBERT A. <br /> Issued DepaAmentaw PUBLICWORKS <br /> Date Issued craizo�s <br /> Fund �Zo Account s Program eao Funclion �oe Activity a�� <br /> Program <br /> Tille SIDEINALK REPLACEMENT 1217 HOYT <br /> Work Order No 20151450 PfOJBCf ACtivify TypO CORRECTIVE MAINTENANCE Sf2tuS CL <br /> Status 6116/2015 Time �227 Original WO __ Billing _ <br /> Customer In(ormation <br /> Customer Name Cusromer ld <br /> Address Streel <br /> Apartment No ��ry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l ) • Ext <br /> Second Phone ( l • Ext - <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Related Requesl <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Informatior. <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Dale __ <br /> Scheduled Date Scheduled Time ___ <br /> Roule Route Sequence <br /> Comment; <br /> Action Taken - - - <br />