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� <br /> Work Activity Work Order <br /> ISSued Oy IILJ HUSOY,LANCE J. <br /> Issued Deparlment�w PUDLIC WORKS <br /> Datc Issued an5rzoos <br /> Pund a01 Accounts Program ��o Function tte Ac�ivity�� <br /> Program <br /> TIIIC R[PAIR J629 ttiT�VE SE 71011?u73 <br /> Work Order No 20090494 Project Activily Type se�e��ice aeouesr Status c� <br /> Slalus ar37i2oo� ��ime ot.o:, Oiiginal WO 6illing <br /> Customcr In(ormation <br /> Cuslomer Name NA Customcr ld <br /> Address 9629 Strcct isr nvr- s[ <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Idep YiN <br /> Phone No 1 azs 1 �55-m�z Ext <br /> Second Phonc l ) - �*� <br /> E-A1ail Address <br /> Problem Infonnation <br /> Address gfiyg Struri �ST�IVESE <br /> Fram Cross Street <br /> To Cross Streel <br /> City Z�P <br /> Subdivision h-1ap F3ook Map Reference <br /> Problem WATER WATER <br /> Sub Problem <br /> Requested 6y Moc e�ccor�ncr�v �nvinc Date Requcsted arzsizaoe <br /> Agency Related Request 0007s5ta <br /> Ini6ated From PU6LIC PUI3LIC <br /> Utility Locate (USA) No Called Dale Expiralion Dale <br /> Assignment In(ormalion <br /> p��� pw PUBLIC WORKS Priorily Estimated Hours <br /> Cretv <br /> Coniracbr <br /> AtitiiJnCd TO HW HUSEi1'.L�NC[J. <br /> n�s��,�,�d sy <br /> nssiuned Datc To Be Comp Dale <br /> Scheduleci Da!e Schoduled Time <br /> Rou�c Route Sequence <br /> Commenls <br /> ACtiOn Taken R[PLAC[D�ROKEN SAOOL[ <br /> Recommended Action <br /> Approved By HLJ HUSDY, LANCL J. JOb COSI IIl(Of0181ion�YlN) <br /> Start Dale � � Time Date Completed ai2nzoo9 Permit No <br /> Cumpletcd By Tfmc Follow Up? <br />