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Work Activity Work Qrder ' ' ' <br /> : izoo �;:: <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �Iv2oo� <br /> Fund 401 l�ccount 5 Progiam 7�o Function �i9 Activify csa <br /> Program <br /> Title SO 7 INCH 3222 LOPdBARD AVE RA,B,C, 710119664 <br /> Work Order No 2��7�6�5 PfOJ2Cl ACIIVIIy T}'pC CORR[CTIVc F.LIINTEN��JCE Sl�WS PR <br /> Date �n�zoo� Time oa:z� Ori�inal WO 2omo��a Billiny <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Aparlment No Ciry <br /> Stale Z'� <br /> Subdivision Change Map Y/N <br /> Phcne No ( 1 - Ext <br /> Second Phone ( 1 - L=xt <br /> E-Mail Address <br /> Problem Information <br /> Address 3PYP Street LOMBARD AVE <br /> Fmm Cross Street <br /> To Cross Street <br /> City Zq' <br /> Subdivision Map Book Map Re(erence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Relaled Requesl <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Priority Eslimaled Hours <br /> Crew <br /> Conlraclor <br /> �ssigned To <br /> �� Assigned By <br /> � Assigned 'J�+te; To Be Comp Date <br /> Schedub�d Date Scheduled Time <br /> ! Roule Roule Sequence <br /> COfnmen[5 CREDiT FOR� HOUSE GIVEN ON SYSTEMS DEV FEE. <br /> ActionTaken ___-- --._ <br /> ��� <br />