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I <br /> 3 <br /> Lk R stA ' ,7. <br /> >L/ <br /> Work Activity Work Order Page 1 <br /> 5/15/2019 15:09 <br /> Issued By NSO NIELSEN,SCOTT O. <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 5/15/2019 <br /> Fund 401 Account 5 Program 710 Function 118 Activity 675 <br /> Program <br /> Title INSTLL.75 INCH PRV 13729 THREE LKS RD 710118675 <br /> Work Order No 20191437 Project Activity Type CORRECTIVE MAINTENANCE Status PR <br /> Status 5/15/2019 Time 15:08 Original WO Billing <br /> Customer Information <br /> Customer Name Customer Id <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Ye <br /> Phone No ( ) - Ext v <br /> Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken X,AS 1 e Z ct UL-( v ducky Ctrl-v,� Uckt C.ue T Uvve <br /> � <br /> 2 vve-1/4.3 `mss e ` e. / c -11 � 3 hi jD R U <br />