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� ' i J � <br />Work Activity Work Order pd9e 1 <br />6/28/2005 8:24 <br />._-------._ —.. _--- -------...--------------- - --___. <br />-. ___.. -- ------__.. -._. _ <br />ISSUBd By CAG CRUM,GERRY <br />Issued Department Pw PUBLIC WORKS <br />Datelssued 6nanoos <br />Fund qo� Account 5 Program �10 Function 1�9 Activity ssq <br />Program <br />TIflO SO 6 INCH 620 SE EVERETT MALL WAY #200 710119664 <br />Work Order No Z��5062� PfOJBCf Activity Type CORRECTIVE MAINTENANCE SfBtUS pR <br />Date sizeizoo5 Timeoe:iz Original WO t�s3e Billing <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />P.gency <br />Initiated From <br />Map Book <br />Utility Locate (USA) No Called Date <br />Assignment Inform�tiop ' <br />Dept Tl L! TI G 5 <br />Crew (�, G,G, <br />Contractor <br />Assigned To 5�y}�� Gi41/7L}'��4'��" <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date � �3�Q5 Scheduled Time <br />Route Route Sequence <br />Comments � <br />Action Taken �•� r <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Retated Ftequest <br />Expiration Date <br />Priority <br />G-3r -o� <br />Estimated Hours <br />�Fl.r2� __SfiP��'C�-� ------- <br />� <br />