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Work Activity Work Order <br />� <br />� ,,., � <br />_.-,i�:_ao� ti:ze <br />ISSUCd B/ TD[i THOMPSGN, DWAYNE E. <br />Issued Department rw PUBUC WORKS <br />Date Issued vzsizoo9 <br />Fund ao� Accounl s Program »o Function t�9 Aclivity a�s <br />Program <br />TIUO REPA�R'16NILESAVE 710119u75 <br />Work Order No 20090 i33 Project Aclivily Type cortRecnve tit,�wTtr�•vacE Status c� <br />Status i��s2oo� Timc i+z� Ori�inal WO Biiling <br />Customer Information <br />Customer Name Custonmr ld <br />Address Streel <br />Apartmenl No ���Y <br />Rtalc '-�P <br />bdivision <br />Fhone No ( � - Exl <br />Sewr.d Phone ( � - Ext <br />E-hlail Address <br />P�oblem Information <br />Address 7�6 Street NILES AVE <br />From Cross Sireel <br />To Cross Stree[ <br />Cily Z�P <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Change Map Y/N <br />Map Referencc <br />Uliliry Locate (USA, '., Called Dale Expiration Datc <br />Assignment In(ormation <br />Dept Pnority <br />Crew <br />CoNraclor <br />Assigned To <br />Assigned �y <br />Assigned Dale 1'0 6e Comp Date <br />Scheduled Date Scheduled Time <br />Route Roule Sequencc <br />Comments <br />Action Taken REPAIREO S[RVIC[ L[AK REPLACFD PACK JOINT AND POLY JUMPER <br />Recommended Action <br />Approved By Kr� KF�so n�+or.tns �. <br />Slarl DaIC I I Tiille <br />Completed By <br />Date Requesled <br />Related Request <br />Estimaled Hours <br />Job Cost Informalion(Y/N) <br />Date Completed 2�eizooe Perm�t No <br />Time Follow Up7 <br />