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TO FOyiiidG �� ,s � <br /> � <br /> Work Activity Work Order , <br /> ISSUCd By WMW WARD,MICHAEL W. <br /> Issued Department rw PUALIC WORKS <br /> Date Issued er,vsooe <br /> Fund aot Account s Program �to Function >>g Activity 6sa <br /> Program <br /> TifIC 50 2INCH 702 W CASINO RD BLDG V 7101196G4 <br /> WO�k OfdCE NO ZOOBOB46 PfOjOCI Activity Type CORNECTIVE MAINTENANCE S18WS CL <br /> Date env2ooe Time o7 aa Original WO t2�s5 Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Strccl <br /> Aparimen�No Cily <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No I 1 • Ext <br /> Second Phone � � • Ext <br /> E-Mail Address <br /> Problem In(ormation <br /> Address �py Slreet yyCASINO RD <br /> From Cross Street <br /> Ta Cross Street <br /> Cily Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agr.ncy Related Request <br /> Indiated From <br /> Ut�hty Locatc (USA) No Called Dale Expiration Date <br /> Assignmont Intormation <br /> Depl Pnority Estimated Hours <br /> Crew <br /> Contractor <br /> �ssigned To <br /> Assi�ned E3y <br /> �ssigned Date To Be Comp Date <br /> Sd�eduled Date Scheduled Time <br /> Route Raule Sequence <br /> Comments <br /> Action Taken NEXT TO METER AT BLG�V <br /> Cun,piet��d By Krd KE�so,T�+on�ns d Approved By <br /> ��;,,i p�a�� � i Tlme Date Completed env�ooa Time <br /> Job Cosl In(ormalion(Y/N) Follow Up? Permit No <br /> Problem Details <br /> �/5 <br />