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� �-� Ga���� 7� ��ST�,t�� S � N�� <br /> U1�ork Activity Work Orcier `'°`�� ' <br /> �isiz�oe _. ,�_ <br /> ISSU@d BY CAG CRUM,GERRY <br /> Issued Deparlment aw PUBLIC WORKS <br /> Date Issued 515/2006 <br /> Fund ao� Account s Program ��o Function t�s Activity �73 <br /> Proyram <br /> l IIIB TAP B RJCH 7310 WDUSTRY ST BLDG F 770119673 <br /> Work Order No Z0�6�97� PfOfCCI Activily Type CORRFCTIVE MAINlENANCE SIBW', PR <br /> Date 5/5/2006 Timeo�:ai Original WO Billing <br /> Custome�Information <br /> Customer Name Customer�d <br /> Address Street <br /> Apartmenl No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �,��p Street �NDUSTRYST <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivisiun Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> A3ency Related Request <br /> Initialed From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priurily Eslimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale Tn Be Comp Date <br /> Scheduled Date Schedu!ed Time <br /> Raute Route Sequence <br /> Commen[s (NORTH) j <br /> Actior Taken � � <br /> _ ' <br />