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� <br /> Work Activity Work Order `� �� � <br /> �:i.,;z�_o� io:na <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Depariment Pw PUBLIC WORKS <br /> Date Issued �a�unoos <br /> Fund 40t Accounl s Program »p Function »g Activity sca <br /> Program <br /> TIIIB SO 2 1NCH 3710 BROADWHY 710119664 <br /> WOfk OfdOf NO 20050950 PfOjBCI ACilVily l�ypC CORRECTIVE MAINTENANCE Sl8lu5 CL <br /> Date �onvzoos Time oe:a5 Origina11V0 t�s^t Biliing <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3710 Street gROADWAY <br /> From Cross SUeet <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Relaled Request <br /> Initialed From <br /> Ut�liry Locate(USA) No Called Date Expiration Date <br /> Assignmcnt Mformation <br /> Dept Priorily Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Cnmp Date <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken <br /> Compleled By MTL2 MARKHAAI,TIMOTHY L. APpfOVOd By <br /> Sfart Date i i Time Date Completed T112@006 Time <br /> Job Cnst !r�formalion(Y/N) Follow Up? Permit No <br /> Problem Details <br /> � <br />