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p.�:r, ] <br /> WOI'�( 1�1CtIVlt)/ WOI'�( 01'C�@I' 3i;_uizoo� i3::��� <br /> ISSUCd By WMW WARD,MICHAEL W. <br /> Issucd Depariment Pw PUBLIC WORKS <br /> Date Issued 3nonoo� Activi <br /> Fund qot Accounl s Program �to Function �t9 �Y 675 <br /> Program <br /> TiIIC CONVERT 721 PECKS DR 71011�J615 <br /> Work Order No 20070238 PfOjCCI ACIiVi�y TypC CORRECTNE 61AINTENANCE S18W5 PR <br /> Date 3�2o�zoo� Time t32z OriginalWO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Slreet <br /> Apartment No Ciry <br /> Stale Z�P <br /> Subdivision Change Map Y/N <br /> Phone Na ( 1 - Exl <br /> Second Phone l 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 721 $tree1 PECKS DR <br /> From Cross Street <br /> To Cross Slreet <br /> Ci�y Zip <br /> Subdivision Map Book Map Re(erence <br /> Problem <br /> Sub Problem <br /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initialed from <br /> Utility Locate(USA)No Called Date Expiralion Dale <br /> Assignment Infortnation <br /> DeP� priorily Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Take'� _(_ - t_ . <br /> � �3 � �g���_ �-�J � R�R r-- aY�z� <br />