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Work Activity Work Or�ler Page � <br /> 7/11/200G 12:q1 <br /> ISSued By WM11W WARD,MICHAEL W. <br /> Issued DepartmentP.� PUBUC WORKS <br /> Datelssued n�vaoos <br /> Fund �ot Account s Program �io Function »y Activity 6�s <br /> Program yQ/! ��� <br /> TIll2 CONVERT 3220 SHORE AVE 71 119G75 <br /> WOfk Ordef NO YOOB��EZ PfOjeCt ACtivity Type CORRECTlVE MAINTENANCE StatUS PR <br /> Date r,�vzooe Time izn Original WO Billing <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> AdJress Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No 1 � • Ext <br /> Second Phone � 1 - Ext <br /> E-Mail Address <br /> Problem Iniortnalion <br /> Address 3Yyp Street SHO�.EAVE <br /> From Cross Street <br /> To Cwss S�reet <br /> City ZiP <br /> Subdiv:sion Map BooY, Map Reference <br /> Problem <br /> Sub Problem <br /> Reauested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> UtiGty Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Cstimaled Hours <br /> Crew <br /> Contractor <br /> Assigeed To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Sch�duled Time <br /> fioute Route Sequence <br /> Comments �r � <br /> AcUan Taken '��-'-"-'�-r � u��� ��� 7 ��'� l�0 (!' `�� Y� f � ' <br /> O'C�� <br />