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Work Activity Work Order <br />,,, <br />a <br />Issued By CAG CRUM,GERRY <br />Issued Department Pw pueuc woRKs <br />Date Issued �nvzoo� <br />Fund qa� Account g Program »o Function »g Aclivity ssa <br />Program <br />T1�IC 50.75INCH 7012 BEVERLY BLVD 77017�664 <br />WOfk OfdBf NO 20070668 PfOJCC� Activily Type CORRECTIVE MNNTENANCE SlBt�S CL <br />Dale ���oizoo� Time oez3 U�.ginal WO �z,s� Billing <br />Custr,nsr Informatlon <br />Customer Name <br />Address Slreet <br />Apartment No Ciry <br />State 7_ip <br />S�bdrvision <br />Phone No � � � f • i <br />SecondPhone � � G�t <br />E-Mail Address <br />Problem Information <br />Address 7012 5tr<'�� BEVERLY BLVD <br />From Cross StreE�t <br />i o Cross Street <br />Cily — <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initialed From <br />Utili�y Locate (USA) No Called Date <br />Assignment In(ormation <br />Dept <br />Crc�,v <br />Contraclor <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 SnUTH SIDE OF DRIVEWAY IN BACK OF SIDEWALK. <br />Campleled By WDL WEAVER, DEAN L <br />S�art Da�e i � Time <br />Job Cost In(ormalion(Y/N) <br />Problem Details <br />Cuslomcr ld <br />Chnngc A1ap 1':N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priorily Estim; ted Hours <br />.... �s,N� 3I�I � lo <br />Tr r <br />Approved By <br />Date Completed �ononoo� <br />Follow Up? Permil No <br />Time <br />�� <br />