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n <br />W�rk Activity Work Ordar <br />� , �, <br />..,. ���,; , ��,; <br />ISSUOd By WMW WARD, MICHAEL W. <br />Issued Department Pw FUBLIC WORNS <br />Date Issued mnote <br />Fund 4oi Accounts Program�to Function >>y Aclivity sFa <br />Program <br />Title SU i 5 INCH 232 99TH PL SW 71D719664 <br />Work Order No 20142101 Pro�ect Achvdy Type coaRecrive r�nAwrevnNcr St us a <br />Slatus �ni2oin Time i i s� On�inal WO so Billing <br />Customer Informalion <br />Customer Name DVNASTV NOMES INC <br />Address 7517 St�Bel GLACI[R PEAN AVE <br />Apartment No City eveaerr <br />Slate z�P <br />Subdivision <br />Phone No � � � Ext <br />Second Phone � � � Fxt <br />E-Mail Address <br />Problem Information <br />Address Y3p Street ggTH PL SW <br />From Cross Slreet <br />Tc Cross Street <br />City <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requn�ted [3y <br />�gency <br />Indiated From <br />Uhhty Locate (USA) No Called Date <br />Assignment Information <br />Oept <br />Crew <br />Contractor <br />Assigned 1 � <br />Assigned t3y <br />Assigned Date I o l3c Co�i�p I t rtr <br />Sr,heduled Date Scheduled Tinn� <br />Rou�e Rou�e SequPnr„ <br />Comments <br />Action Taken MFTrri aoaminn, nr in��ninin�n wnrra nri <br />Recommended Action <br />Customer ld <br />Change Mep Y/N <br />Zip <br />Map Refr�renr.e <br />Dn�e 12rqur�t�d <br />N��lati•d Iir��u���,i <br />Fxpiration U�t� <br />F�nnfily 1-`Jmi:d�,r1 H�n�r. <br />i1p�fOVEEC� fiy WDI '!J i,:! i� LI GtJ I b..l-� ��.�r f liil��'n�'d�. d�� f iJ. <br />Sid1�n��E' I I �inir; �I.��r�,n�l���lr��t:il 71741701A {'��Iindil�� <br />Completed Liy lime Follow Up"� <br />� c <br />�J ' <br />� <br />