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� <br /> Work Activity Work Order � � <br /> . . , � ..� <br /> I55uCd BY WMW WARD,MICHAEL W. <br /> Issued Departmenl rw PUBLIC WORKS <br /> Dale Issued 4111IYq07 <br /> Fund 4ot Account s Program »o Function >>y Activity 6�5 <br /> Proyram <br /> TIiIC REPAIR 3405 F1ELL AVE 710119675 <br /> WOfk OfdCE NO ZOO�O��O PfOJCCI ACliVily Type CORRECTIVE MAMTENANC[ S18W5 CL <br /> Date anv2oo� Time �3:ae Original Wp Billing <br /> Customor Informallon <br /> Customer Name Customer ld <br /> Address Str�et <br /> Aparlmenl No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No 1 1 - Ext <br /> Second Phone 1 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Add�ess J405 Stre�l BELL AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Sul�division Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requesled <br /> Agency Related Request <br /> Initiated From <br /> Ulility Locate (USA)No CalleA Date Expiration Date <br /> Assignment Informatian <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assiyned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Da1� Scheduled Time <br /> Route Route Sequence <br /> Cammonts <br /> ACllOfl T8kBf1 INSTALLED SETTER 4'RIGf1T OF LF:Fi AND 1J'OUT. <br /> Compteted By �AIMW WARD,MICHAEL W. APPfOVBd BY <br /> Start Dale � � Time Dale Complated at7�soo� Time <br /> Job Cost Information(Y/N) Follow Up? Permit No <br /> Problom Details <br /> SHUT OFF UNDER BRICK WALL. SEWER HAS IT EXPOSED, PUT <br />