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. � <br /> Work Activity Work Order `'�"� � <br /> ���,�����, ��:�� <br /> ISSII@d By CAG CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued snizoo5 <br /> Fund aot Account 5 Program »a Function tt9 Aclivity gbq <br /> Program <br /> Tille SO.751NCH 2620 BROADAY 710119664 <br /> Work Order No 20050863 PfOJCCI Activity Type CORRECTIVE MAINTENANCE SlBtuS CL <br /> Date 9l1I2005 Tif11013:59 Ofi91f181 WO 11733 Bllllfl9 <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Slree� <br /> Apartment No Cily <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Secand Phone ( I - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Zspp Street gROkOW,IY <br /> Fram Cross Slreel <br /> To Cross Slreel <br /> Cily Zip <br /> Subdivisir,; Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested 8y Date Requested <br /> Agenq� Retated Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pricriry Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken IN BACK OF SIDEWALK:5'SOUTH OF NORTH PROPERTY LINE OFF BROADWAY. <br /> Completed Dy KTd KELSO,THOMAS J. Job COSt If1f0�fit8tio�(YIN) <br /> Start Dale � I Time Da;e Completed y��y�zoos Time I <br /> Approved By Follow Up? Permit No i <br /> Problem Details y� <br /> /Y <br />