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�� <br /> wYV+ <br /> M <br />�� �: <br /> j -. ��� ����ER6AL� ' _' <br /> �� <br /> :_,: <br /> 5_ ��n <br /> ���:� <br />��,. ` � � Page 1 <br />�:� Work Activity Work Order 1/il/2072 10:33 <br /> - --- - - -- - - - <br /> -.�„ - - ------ E: <br />;.� �'� ISSU2d By ORJ OSBORNE,RICK J. <br /> Issued Department aw PIIBLIC WORKS <br /> Date Issued eis�zo�� %' <br /> Fund ao� Account 5 Program zao Function �05 Activity es; � <br /> � . <br />...-- - Program �-. <br />�`� '� REPAIR LS 33 VFD&CONTROLS 200109633 '^' <br /> Title � <br />`". Work Order No 20110859 Project Activiry Type CORRECTIVE MAINTENANCE 5[i,it,s �� <br /> Status _ sieizoi� _ Time io:iz Original WO __ _____ _ Billing _ _ _ _ _ <br />" -� Customer Information <br /> Customer Name LIFT STATION 33 CL15fOf71Bf Id LS39 <br /> Address 3020 ?V2BI96TH ST <br /> Apartment No City <br /> State �'-iP <br />_ Subdivlsion Change Map Y/N <br /> Phone No ( ) - Ext <br /> ` — --- -- ._ _ <br />,_�: <br /> Second Phone ( > - Ext <br />,'r,;,��„ _ E-Mail Address <br />"'.r�' `i='� ' Problem Information <br /> . Address 3020 Str?et 36TH ST <br />� From Cross Street <br />��� To Cross Street <br /> 3�+'� City Zip <br />�� ; , Subdivision Map f ook Map Reference <br />��' Problem <br /> ti > Sub Problem <br /> Requested By Date Requested <br />�2Y��'r A enc Related Request <br /> 9 Y <br />�� Initiated From <br /> Utility Locate (USA) No Calleu Date Expiration Date <br /> y:" = Assignment lnformation <br />��•,, Cept Priority Estimated Hcurs <br />�, ,;, Crew <br />- Contractor <br /> - - Assigned To <br />_�;'; <br /> Assigned By <br /> �Y' Assigned Date _____ _ Tu Be Comp Date <br /> Scheduled Date _ ___ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CLOSE FOR YEAR END <br /> Recommended Action <br /> Approved By DMJ ooUCEiTe, rnFRK�. Job Cost Information(Y/N) <br /> Start Date i i Time _ _ Date Completed vv2o�2 __ Permit No _ <br /> — -- — — _ <br /> Completed By Time _ Follow Up?___ __ <br /> : -::, ,E. <br /> .�_ r ` . <br /> _� o°`�� ' '� `',+� w,�t. ,�i � ti� k��Jt::� . �-"`�{�._. <br />