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a <br /> Vilork Activity Work Order - <br /> ISSUBd BY CAG CRUM,GERRY <br /> Issued Deparlment pw PUBLIC WORKS <br /> Date Issued arenom <br /> Fund qe� Account 5 Proqram no �=unr.tion >>y Activity ssa <br /> Program <br /> TillB SO 2 WCH 1919 HOYT AVE ilAB 710113664 <br /> Work Order No 20070298 Projecl Activity Type cuRaer.rive r,�„iNreNnuce Status c� <br /> Dale aisi2oo� Time t0:0o Original WO �2a0a Rilling <br /> Customer Information <br /> Cusiomer Name �!!�tom�r ld <br /> ^ddress Streel <br /> Apartment No Ci,y <br /> State ZiP <br /> Subdivision Change Man YiN <br /> Phone No l ) - Ext <br /> Second Phone l ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 199g utreet HOYrAVF_ <br /> From Cross SUeet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Nlap Reference <br /> Problern <br /> Sub Problem <br /> Requested By Date Reyuested <br /> Agency Related Request <br /> Initiated From <br /> Utilily Locate (USA)No Called Date Expiration Date <br /> Assignment Information <br />�� Dept Priority Estirnated Hours <br /> Crew <br /> Contractor <br /> Flssigned To <br /> Assigned By <br /> Assigned Date ?0 6e Cortip Date <br /> Scheduled Dale Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken Z9�QUT FROM NORTHWEST CORNER <br /> Completed By KTJ KELSO,THOMAS J. P.p�fOved 8� <br /> Start Dah> i i Time Cate Completed anoi2oo� Time <br /> Job Cost In(ormation(Y!N) Follow Up? Permit No <br /> Problc?i Delails <br /> ��.�J <br /> w <br />