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Work Activity Work Order <br />ISSUzd By O8S OLHAVA, BRAD S. <br />Issued Department rw pueuc woaKs <br />� .; � <br />. . �oi � �! <br />Date issued msnois <br />Fund oot Account s Progrzm »o Func;ion �09 4ctivity 6�� <br />Program <br />TiIIQ REPAIR 913 WALL ST i 10103v71 <br />Work Order No 20151611 Pro;ect Activity Type coaaecnve �.v�iN'i cN;,r.ct' Status PF <br />Stalus %nsrzois Time o� 09 Original WO E3111ing <br />Customer Information <br />Customer Name c.o.e <br />Address Street <br />ApaRment No Ci;y <br />State Zip <br />Subdivision <br />Phone No � 1- Ext <br />Second Phone � ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 913 Street yyqLl ST <br />From Crass Street <br />To Cross Street <br />City <br />Subdrvision R4ap Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Indi2�ed From <br />Ut�l�;y Locate (USA) No Called Date <br />Assignment Information <br />Customer Ic <br />Change A4ap Y!N <br />Z�p <br />MaG Re(rrer�ce <br />Date Requested <br />Felated Reques[ <br />Expuation Date <br />Oept P�'�' PuoucwoftKs Pr.crity Estimated Hours <br />CfBW SCONST 5[6V[R CONSTRUCTION (OLHAVAI <br />Contractor <br />Assigned To iJM uanuF. �nr.tes r.t <br />Assigned dy oas ou+nvn eano s <br />Assigned Date _ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Rnute Sequence <br />Comments � / <br />Adlon Taken — -- lv�, _w 0 (` ��� �{ � ��l 4,1(it(.�� <br />( S <br />�'o- �(rwt,�� ��t _,�,uy <br />� o� s ���-���u q,� % l 6� l� <br />u �✓ <br />- -- - - V -- -- - - <br />