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/1 <br /> v"; <br /> Work Activity Work Order <br /> ISSUCd BY CSG CAVANAH,SHANE G. <br /> Issued Deparlmenl Pw PUBLIC WORKS <br /> Date Issued �ons�zoos <br /> Fund qo� Accounl s Pro�ram ��o Function >» Achvit� a�s <br /> Program <br /> TIllB REN[W.73 INCH 320 42ND ST SW 710115�75 <br /> Work Order No 20092965 Project Activity Type c�Ftttecnve i.�niuTr_rdr.race Siatus c� <br /> StaWs ioa��2oo� Time iz:an Originai WO zoo�ze�i Billiny <br /> Customer Information <br /> Customer Narne Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z'�' <br /> Subdivision Change Map Y(N <br /> Phone No � � - �x� <br /> Second Pfione 1 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 320 Street 42ND ST SW <br /> From Cross Sireet <br /> To Cross Streel <br /> Ciry Zip <br /> Subdivision Map Book Map R.e(erence <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locatc (USA) No Called Date Expiration Dale <br /> Assignmeni In(ormation <br /> Depl Priority Estimated Hours <br /> Crew <br /> Conlractor <br /> Assiyned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Dat�: Scheduled Time <br /> Roule Roule Seauence <br /> Comments <br /> Action Taken co�at�e�teo To New MniN. <br /> Recommended Action <br /> Approved Dy BGM2 f3FUKEHS.GEORGE M. JOb COSI IflfO�rTlBliOfl(Y/N) <br /> Start Date � i Time Dale Completed 1012812009 Permil No <br /> Compleled By Time Follow Up7 <br />