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- . 2.- <br /> �� <br /> Work Activity Work Ord�r page 1 <br /> 11/15/2006 1�:41 <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued n3��zoas <br /> Fund aot Account s Program »o Function tt9 Activity ew <br /> Frogram <br /> TIIIB SO 2 INCH 11632 EVER('iREEN WAY 710119664 <br /> WO�k OfdOf NO ZOOs'I26� PfOjCCt ACtivlty Type CORRECTIVE MAINTENANCE SletUS CL <br /> Date �iav2oos Time oe:oi Original WO zoosizs5 Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �qg3y Street ENERGREENWAY <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated 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 Oate <br /> Scheduled Date Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken <br /> �5 <br /> � <br />