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� <br /> .--+�g <br /> -,-r`�''r.'---��"4 <br /> Work Activity Work Order ' �� � <br /> .� ��,�;.�» ,o:a� <br /> ISSUCd By WMF WELLMAN,MAIt:•:F. <br /> Issued Departmenl rw PUBLIC WORHS <br /> Date Issued 612 612 0 0 7 <br /> Fund qat Accounl s Proc�ram »o Funclion >>q Activity 6�5 <br /> Proyram <br /> TifIC HEPNR 751NCH 2207CLEV[LAND71n119f,7; <br /> Work Order No 20070665 Projecl Activity Type SERVIC[REqUEST Status c� <br /> Date ��2r,i7oo7 Time 15:30 Original WO 2oo�oae5 �illing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Slate Zip <br /> Subdivision Chanc�e Map Y/N <br /> Phone No 1 1 - Fzt <br /> Second Phone � � - Ext <br /> [-Mail Address <br /> Problom InformaUon <br /> Address Sheet <br /> from Cross SlrPcl <br /> Ta Cross Strecf <br /> Cily Zip <br /> Subdivision Map Book Map Referenr.e <br /> Pioblmn <br /> Sub Problem <br /> Requcsted 8y Dale Requested <br /> Agency Relaled Request 000sa�s5 <br /> Iniliated From <br /> Ulility Locatc(USA)No Called Date Expiralion Date <br /> Ass(gnmanl Infarmation <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Conlractor <br /> �ssigned To <br /> Assigned C�y <br /> Assigned Date To Be Camp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken <br />