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. � <br /> � N� MP��ERIALS <br /> Work Activity Work Order Page � <br /> 5/27/2005 9:02 <br /> -- ---- -- --- —�------- ------- - -------- —_ . . <br /> Issued By WMW WARD,MICHAEL W. , <br /> Issued Department Pw pUBLIC WORKS <br /> Dale Issued a�25�2oos <br /> Fund ao1 Fund s Program 710 Punction N9 Activity s7s <br /> Program Function Activity <br /> TIllB KILL 1�27 B COLBY AVE <br /> Work Order No 20050435 PfOf BCf Activity Type CORRECTIVE MAINTENANCE SfB�US CL <br /> Date _ aiz5noo5 Timeoezo O�ginal WO _ Bllling <br /> Customer Infortnation <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phane No ( ) • Ext <br /> Second Phone f ) • Ext -- — <br /> E-Mail Address <br /> Problem Information <br /> Address �gy�g Streat COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate(USA)No Called Date Expiralion Date <br /> Assignment Intormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ _. _ To Be Comp Date ___ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CAPPED AND OISCONNECTED SERVICE APPLICATION N 10205 <br /> COropletEd !3y KTJ___KELSO,THOMAS J. JOb COsf IIifORTlBtiOf1(Y/N) ��DS <br /> StaA Date i � Time Date Completed yp��yoos �E � <br /> MProved By - ----------- — . — Follow Up? -- Permit No -- --�uN-�.5 1�QrJ <br /> Problem �etails <br />