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Work Activity Work Order <br />� , ,.. , <br />, , , ,: . <br />ISSUCd BY CAG CRUM,GEHRY <br />Issued Department Pw PUBLIC WORKS <br />Dalc Issued 7i2noo7 <br />Fund ao� Pccount 5 Program 7�o Function tte Activity 6» <br />Prograrn <br />TIUC TAP 8 INCH 1111 �RUSKRUD RD 710119673 <br />WOfk OfdCE NO Z00%OB%B PfOJBCI Activily Type CORRECTIV[ MAINTENANCE S18�U5 PR <br />Dalc � 1noo� Time oe z� Original WO zoo�ocn �illing <br />Cuslomer Informallon <br />Customer Name <br />Address <br />Aparlmenl No <br />Slate <br />Subdivision <br />Phonc No 1 1 <br />Second Phone 1 1 <br />E-Mail Address <br />Problem Informatlon <br />Address ���� <br />From Cross Street <br />Ta Cross Slreel <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requesled By <br />Ac�ency <br />Initiated From <br />Ulility Locale (USA) No <br />Assignme�t Information <br />Dept <br />Crew <br />Conlrac�or <br />Assigned To <br />Assiyned By <br />Assigned Date <br />Scheduled Oale <br />Routc <br />Comments <br />llclion Taken <br />Slreet <br />City <br />z�� <br />Exl <br />6x1 <br />Streel BRUSKRUD RD <br />Map Book <br />Called Date <br />To Be Cump Dale <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />'Lip <br />Change Map Y!N <br />Map Re(erence <br />Dale Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />