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� <br />�' _l_ 1, , r - r� i� , �,. � ^� �,� � <br />� z � P�.�,,�g ti-a3-� <br />� <br />Work Activity Wor�6rder pa9e ' <br />2(23/2006 10:43 <br />. _... __—__. ____ _ .— __— _ . __ _. _ .._ .__._... ___._- -- —___ —_ ..__ . _ ._. <br />ISStIEd By CAG CRUM, GERRY � <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 8H012005 <br />Fund aot Account s Program �to Function ��g Aclivily en <br />Program <br />TIIIB INSTALL HYDRANT 1230 MADRONA AVE 710119677 <br />WOfk OfdBf NO 20050772 P�OJ2Cl ACIIVIty Typ2 CORRECTIVE MAINTENANCE S�etUS CL <br />Date anonoos Timeor.az Original WO Billing <br />Customer Iniormation <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone l > <br />E-Mail Address <br />Problem Information <br />Address 1230 <br />From Cross Street <br />To Cross Slreet <br />Cily <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initialed From <br />Utilily Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Dale _ <br />Scheduled Date ___ _ _ <br />Route <br />Comments <br />Action Taken — ---- — --- <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street MADRONA AVE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Custamer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />RECORDS <br />MAR 0 2 2006 <br />\' <br />} <br />