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� � ��, <br />, ,. <br />. ; ,;_ <br />Work Activity Work Order <br />� <br />��;, _.,:,,- - _ <br />issued By CAG CRUM, GERRY <br />Issued Department Pw PUBLIC WORKS <br />Date Issued a�zn�zooe <br />Fund qo� Account e Program »o Function iis Activily ssa <br />Program <br />Title S0 6 1NCIi 1^O6 SE EVERETT MALL WAY 710119664 <br />Work Order No 20080357 i�fOJBCi Acliviry Type CORRECTIVE MAINTENANCE St8lU5 CL <br />Date vzai2oo& Time i5:3a Original WO tz�as Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address 1206 <br />From Cross SUeet <br />To Cross SVeel <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested E3y <br />Agency <br />Initiated From <br />Ulility Locate (USA) No <br />Assignment Information <br />Depl <br />Crew <br />ConUactor <br />Assigned To <br />Assigned By <br />Assigned D2te To Be Comp Date <br />Scheduled Date Scheduled Time <br />Roule Route Sequence <br />Comments PER OWNER TAP ONLY-DCDA TO BE DONE BY TENANT. <br />Customer ld <br />Street <br />City <br />Zip <br />Exl <br />Ext <br />Streel SE EVERETT MALL WAY <br />Map Book <br />Called Date <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken CONTRAC70R SUPPLIED DCDA AND INSTALLED. <br />COfT1�ICiBd By WMW WAFtL1, MICHAEL W. <br />Start Daie i r Time <br />Job Costlnformation(YIN) <br />Problem Details <br />Approved By <br />Date Completed 911 112 0 0 8 <br />Follow Up? Permit No <br />Time <br />