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. � <br /> Work Activity Work 4rder �a�� 1 <br /> 10/11/20U7 10:51 <br /> . _.__ __.._. _—__—__.. _ __—__ <br /> ISSUOd By CAG CRUM,GERRY <br /> Issued DepartmentPw PUBLICwottKs <br /> Date Issued srtsnoD� <br /> Fund aot Account s Program 7�o Function ��g Activity eea <br /> Program <br /> TiIIC 50.751NCH54728ROADWAY710119664 <br /> Work Order No 20070523 PfOJdCI Activity Type CGRRECTIVE MAINTEN�;NCE StBIUS CL <br /> Date BI15/2007 Time oa:2z Original WO iz4eo Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ���Y <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( � - �t <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> — --- _ _ <br /> Problem Information <br /> Address Sq�y Stree' BROADWAY <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Referenr,e <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Relaled Pequest <br /> Initiated From <br /> Utility Locate(USA) No Cailed Date Expiration Date <br /> Assignment Information <br /> Depl Priority Estimaled Hours <br /> Crew <br /> Contraclor <br /> Assigr,ed To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date _____. Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken EAST SIDE OF DRIVEK'AY ON GALE PL. <br /> Completed By WDL WEAVER,DenN�. Approved By <br /> Start Dale / / Time Date Completed snvzoo� Time <br /> Job Cost Information(Y/N) _ _ ___ ___ Poliow Up? Permit No ________ <br /> Problem Details <br /> � <br />