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� <br /> i <br /> G (�, �5� � <br /> � � / <br /> Work Activity Work Order �a�� = _ <br /> _, .__. .:��,� _. _ <br /> Issued By WMF WELLMAN,MARK F. <br /> Issued Department PN PUBLIC WORKS <br /> Date Issued sizznoas <br /> Fund qp� Accounl s Program ��o Funclion »9 Activity sea <br /> Program <br /> Tille SO 6INCH 1130 SE EVERETT MALL WAY 71D119664 <br /> Work Order No 20050598 PfOJBCI Activity Type CORRECTIVE MHINTEMANCE Sf8f115 PR <br /> Date s�z?�zoos Timeoe:zs Original WO i�s57 Billing <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Addf6SS ��30 SIfP.Bt SE EVERETT MALL WAY <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cioss Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision INap Book PAap Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Iniiiated From <br /> Ulility Locate (USA) No Called Dale Expiralion Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor , j ��, / <br /> Assigned Tu w � <br /> Assigned By ' <br /> Assigned Date To Be Comp Date ��� v S <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> � <br /> Comments <br /> Action Taken � �✓S i/�L�-!�'� �'t�� /'J Ga7✓�Ff�/ G`�-- <br /> � <br /> �i,!� ��.: .::`t� G��'vLt_ —,�. <br /> ���D <br />