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Work Activity Work Order Pa9e 1 <br /> 7/31/2006 8:00 <br /> ISSuOd By CAG CRUM,GERRY <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 7I31I2006 <br /> Fund aot Account s Program �to Function t�e Activity s6a <br /> Program <br /> Title SO 6 INCH 11632 EVERGREEN WAY 770119664 <br /> WOfk OfdBf NO ZOOB�ZBG PfOJBCf Activity Type CORRECTIVE MAINTENANCE SI8fU5 PR <br /> Date 7I31I2006 TlfilB 07:59 O�iginal WO 2006�265 Bllllfl9 <br /> Customer Informatinn <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1183y Street EVERGREENWAY <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map fEeference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Relaled Request <br /> Initi2led From <br /> Utility Locate (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 Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken <br /> ! 7 <br />