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� <br /> Work Activity Work Order �a9� 1 <br /> 3/za/zoos ia:ni <br /> ISSUCd By WMW WARO,MICHAEL W. <br /> Issued Departmenl Pw PUBLIC WORKS <br /> Data Issued vnnoua <br /> Fund ao� Account s Program »o Punction tts Aclivity e�s <br /> Proc�ram <br /> TIIIC WNVERT 2004 COLUA181A AVE 710119675 <br /> Work Order No 20080134 PfOfCCI Activity Type CORRECTIVE MAINTENANC6 $181U5 Cl <br /> Oate 2innooe Timc is:ia Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Slalc Zip <br /> Subdivision Cliange Map Y/N <br /> Phone �o ( 1 • Ext <br /> Second Phone ( ) - Ext - - <br /> E-Mail Address <br /> Problem Information <br /> Address yppq Street COLUMBIA AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Re(erence <br /> Problem <br /> Sub Pn�blem <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 Priorily [stimated 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 /> V�/ <br />