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(( '/� �" .�-t.l���,-� -1' <br /> ,y7��-��, �'�.>„Z' ' <br /> Work Activity Work Order ��� ' <br /> i:��,;::�,��:, � ,: i�, <br /> ISSUBd By WMW WARD,MICHAEL W. <br /> Issued Departmentrw PUBLICWORKS <br /> Dale Issued �vaizoos <br /> Fund qa� Account s Prograrn »o Function »y Activiry e�s <br /> Program <br /> Tille REPAIR 11707 FREEWAY PL 71011967, <br /> Work Order No 2��6�632 PfOJCCI ACUViIy TyPC CORRECTIVE M�MTENANCE S�2IUS PR <br /> Date izia�2ooc Time t3:os Original WO Billing <br /> Customer Information <br /> Cuslomer Name Cusromer ld <br /> Address Street <br /> Apartment No Ciry <br /> Slate Zip <br /> Subdivision Cliange Map Y/N <br /> Phone No l 1 - Ext <br /> Second Phone ( ) - Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address ����� Street FREEWAYPL <br /> From Cross Slreet <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Liook Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Ini(iated From <br /> Utility Locate(USA)No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Da�e To Be Comp Date <br /> Sclieduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments / U � ��/ � <br /> Action T ken ��'�-�lxt �` ��7 l` / o Y� 7 ��� _� � <br /> ! � <br /> _s _��=��( � /f/C!J_Co-�z,,�- � /��,,��+r�-(-�;�j <br /> - --- -` l/ <br /> �� -`�`�y-`� �' - ------ <br /> - -- - G� "_— - - <br />