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�/y�j. �-v/L �f�Ii2o,v. /,us�. � suJ �'�. <br /> E���,�'sr//�/ <br /> Work Activity Work Order page 1 <br /> 7/6/2005 15:17 <br /> ISSUed By CAG CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ��snoos <br /> Fund aot Accounl5 Program »o Function tts Activily et7 <br /> Program z�� <br /> TiIIC INSTAL� HYDRANT37D2'�ROADWAY 710119677 <br /> WOfk OfdOf NO 20050653 PfOjOCt Activity Type CORRECTIVE MAINTENANCE StBfUS PR <br /> Date �rsizoos Timets:+z Originol WO Billing <br /> Customar Informat(on <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No Ciry <br /> State Z�p <br /> Subdivision Chan�e Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address p7pp Street gROADWAY <br /> From Cross Street <br /> To Cross Street <br /> Ciry Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Reyuested By Date Requested <br /> Agency Relaled Request <br /> initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Infarmation <br /> Dept Priorily Estimated Hours <br /> Crew <br /> Contractor � / E R.�S <br /> Assigned To C.� , �;0 <br /> Assigned By _ � �����--�� <br /> Assigned Date ?o Be Comp Date SEp 2 g 2p05 <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken — — — — — <br /> ��J� <br />