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,� <br /> Work Activity Work Order <br /> ISSLiCdBy TD[t THOMPSON,�UWAYNEE. <br /> Issued Deparlmenl Pw PUBLIC WORKS <br /> �ate Issued 41912009 <br /> Fund ao� Accounl s Program »o Function >» Activity 675 <br /> Program <br /> TIIIC «��'AIR.751NCH 6601 OLYh1PIC DR 710119675 <br /> WO�k Ofdef NO 20090435 PfOJCCI ACllvlly TYPC CORR[CTNE IdAiNI[NANCE Sl2fUS CL <br /> S�alus 4rsr2oo� Timc o9:to Original WO 6illing <br /> Customer Informalion <br /> Cuslomer Name Customer ld <br /> Address Stree� <br /> Apartment No Cily <br /> S�ate Zip <br /> Subdivision Chnnge A4ap YIN <br /> Phone No ( � - 6xt <br /> Second Phone c l - Ext <br /> Gh4ail Address <br /> Problem Information <br /> l�ddress 6601 Street OLYMPIC DR <br /> Prom Cross Streel <br /> To Cross Street <br /> City 7_ip <br /> Subdivision Map Dook P iap Referencr. <br /> Problem <br /> Sub Problem <br /> Requested [�y Date Requested <br /> Agency Related Request <br /> Iniliated From <br /> Utiliry Locatc (USA) No Called Dale 6xpiralion Dale <br /> Assignment Informalion <br /> Dept Prionty [stimated Hours <br /> Crew <br /> Conlractoi <br /> Assigned To <br /> Assigned Dy <br /> Assigned Date To Dc Comp Date <br /> Sr.heduled Dale Scheduled Time <br /> Ruule Route Sec,.�ence <br /> Comments <br /> AGIiOn TBkCn SBTTER INSTN_LED P[R M[ASURMENTS ON CHART TO REPAIR LEAK. <br /> Recommended Action <br /> Approved By Kr� K[�so. r�;orans.i Job Cost Informalion(Y/N) <br /> Start Dale i i Time Dale Completed aisnoos Permit No <br /> Completed By Time Follow Up? <br />