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� <br /> Wark Activity Work Order <br /> ISSu^d f3y TDE7 THOMPSO4,DWAYN[E. <br /> Issued Deparlment Pw PU�LIC WORKS <br /> Date Issued si2u2ooe <br /> Fund qot Accounls Proc�ram 7to Function t�g Aclivity c;s <br /> Program <br /> Tifle REPNR?2310AKESAVE 710179675 <br /> WorkOrderNo 20090629 Project AclivityType co�iiirciici r.�;•u.�r-u;,r-ic!_ Status c� <br /> Slalus ��2vzoo� l in;r on 3i Original WO aillinr� <br /> Customer Informalion <br /> Customer Name Customcr ld <br /> � Address Sirect <br /> Apar�ment No City <br /> Slate Z�P <br /> Subdivision Changc t.iap Y:N <br /> Phone No ( 1 - [>:t <br /> Second Phone ( 1 - Est <br /> E-1�9ai1 Address <br /> Prol�lem Information <br /> Address pp3� 5���`�-I pqKES AVE <br /> From Cross SVeet <br /> ib Cross Stree� <br /> City 7_ip <br /> Subdivision hlap Hook Map Releicncc <br /> Problem <br /> Sub Problem <br /> Requesled [3y Dafe Requested <br /> Agency Relatr.d Request <br /> Inilialed From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Informalion <br /> p���t Prinri�y Fslimaicd Hours <br /> Crew <br /> Coniraclor <br /> �ssigned Tu <br /> Assigned [3y <br /> Assl�ned Dale 1 o f3c Comp Dalr. <br /> Scheduled Dale Scheduled llm�: <br /> Routr Roule Sequencc <br /> Cmnments <br /> Action Taken REPLAC[D CURF3 S70P wini n s�rT�rt <br /> Recommended Aclian <br /> �PProved f3y M�K r.s�'.i<i_ri u�ra, .i�v:on r._ Job Cost Informalion(YIIV) <br /> ;Lut D.+tc � � Time Date Compleled si22noos Pernul No <br /> Gnin;ile�ed 13y Tlme Follow Up? <br /> ���s <br />