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�C/�?�/ ������� ���%���1"���� <br /> ��� -������ <br /> Work Activity Work Order Pa9e 1 <br /> 7/6/2005 15:10 <br /> _ .- ----- - -.._. _ _- - -- - _ . . . . _._. _. _ . . . --- --- -�-- � <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Departmentrw pueuc woRKs <br /> Date Issued �ieizoos <br /> Fund ao� Account 5 Program »a Function »9 Activity s�a <br /> Program <br /> TitlO NEW B INCH MAIN 2000 BlK EVERETT AVE 710119673 <br /> WOfk OfdBf NO 2���652 Pf0J2Cl Activity Type CORRECTIVE MAINTENANCE SIBIUS pR <br /> Date 7/6/2005 TIff1815:08 OfIQlt121 WO 20050521 Bllllfl9 <br /> Customer Infarmation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 • Ext - <br /> E-Mail Address <br /> Problem Information <br /> Address 2000 Street EVERETT AVE <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> I Sub Problem <br /> ; Requested By Date Requested <br /> ' Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor J <br /> Assigned To /,� / G �-7 <br /> Assigned By V�� � ' / �'�s � �S � RECQ� ^ <br /> Assigned Date To Be Comp Date o� t�D� <br /> _ - <br /> Scheduled Date Scheduied Time SEP `L � 2005 <br /> _ __ — - <br /> Route Route Sequence <br /> Camments <br /> ActionTaken _ __ --- -- ---- --- .- - <br />, _ _ Cc <br /> � <br /> I <br />