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��U� � <br />c-� <br />`y`"� �0 �R�'ERIALS <br />Work Activity Work Order page 1 <br />1�11�2�12 1�:15 <br />ISSUBd By � ORJ OSBORNE, RICK J. <br />Issued DzpartmentPw PUBLICWORKS <br />Date Issued tonnzoto <br />Fund aot Accou�t 5 Program zoo Function tos Activity 633 <br />Program <br />Title REPAIR AIR INLET LSO4 200109633 <br />Work Order No ZO�OZ6�� Project Activity Type CORRECTIVE MAINTENANCE SfalUS CL <br />Status �orznzo�o Time i5:3o_ Originai WO Billing _____ __ <br />Customer Infarmation <br />Customer Name LIFT STATION 4 <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � > • <br />Second Phone ( 1 - <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />initiated Frum <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ _ ___ <br />Scheduled Date __ ___— <br />Route <br />Comments <br />Action Taken CLOSE FOR YEAR END <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Recommended Action <br />AppfOVEd By DMJ DOUCETTE. MARK J. <br />Start Date � i Time __ <br />-- — <br />Completed By - -- - - _ -- - - - — - --- -- <br />Customer ld �s oa <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Costlnformation(YIN) <br />Date Completed vv2otz Permit No <br />Time Follow Up7 <br />