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y <br /> ' F F � � <br /> Work Activity Work Order <br /> , . ;� . <br /> ISSUCd By CAG CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �onv2oos <br /> Fund aot Account s Program »p Function tte Activily 6� <br /> Program <br /> TItl2 50 4 INCH 3770 BROADWAY 770179664 <br /> WO�k O�dOf NO 20050953 P�OjeCt ACtivi�y TypC CORRECTIVE MAINTENANCE StBluS CL <br /> Date ton2i2oos Time osas Original WO zoososs� Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> State Zip <br /> Subdivision Chonge Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3710 Streel BROADWAY <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Ac�ency Related Requesl <br /> Iniliated From <br /> Ulilily Locale (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken �•a^FIRE SERVICE. <br /> COmplet2d By CAG CRUM,GERR1' Approved By <br /> Start Date � � iime Date Completed ;nznoos Time <br /> Job Cosl Information(Y'�N) f ollow Up7 Pernut No <br /> Problem Details <br /> Z�� <br />