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Work Activity Work Order <br />� <br />a,�� � <br />ioizoizoo: i;:�; <br />ISSUBd By CAG CRUM,GERRY <br />Issued Department Pw pUBLIC WORKS <br />Date Issued nvzoos <br />Fund aoi Account 5 Frogram »p Function »y Activity ssq <br />Program <br />Till2 SO 2 INCH 22y UORN AVE #A 710119664 <br />WOfk Ofdef NO 2�05�64$ PfO�@Cl ACiI�/iiy i�ype CORRECTIVE MAINTENANCt SlBIUS CL <br />Date �nnoos Timeo�:ae Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No l ) <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address pyg <br />From Cross Streel <br />To Cross Streel <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Ulility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Cor,lractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Action Taken WEST SIDE OF DRIVEWAY <br />Campleted By woL <br />Start Date i <br />Appra�ed By <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street DORN AVE <br />Map Book <br />Called Dale <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />WEAVER, DEAN L. <br />i Time <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Retated Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Infermation(Y/N) <br />Date Completed g�y312005 <br />Follow Up? Permit No <br />1-I�i�Td <br />Problem Details <br />�5 <br />