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� Q ��ATERIALS <br /> Work Activity Work Order Pa4� 1 <br /> 4/19/2012 14:53 <br /> ISSU2d BY HMP HALE,M�CHAEL P. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued ei2azo�� <br /> Fund �zo Account c Prograin eao Function �aa Nctivity e�i <br /> Program <br /> TIfIB SIDEWALK REPLA�EMENT 3404 KROMER AVE 840108611 <br /> WOfk Ofdef�10 20112309 PfOJeCt Activiry Type CORRECTIVE MAINTENANCE St2fU5 CL <br /> St2tU5 9/2012011_ TIfT10 13:59_ OflJlfldl WO _ _ ______ Blllifl9 _ ____ ___.__.____ <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext __- — _ _.-- <br /> Second Phone ( 1 • Ext - <br /> E-Mail Address -- - - - <br /> Problem Information <br /> Address 3404 Street KROMER AVE <br /> From �ross Street <br /> To Cross Street <br /> Gity Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utilitv Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br />� ` Dep: Priority Estimated Hours <br /> Cre�v <br /> Contractor <br /> Hssigned To <br /> Assigned Ey <br /> Assigned Date To Be Comp Date <br /> Scheduled Date _ _ _ Scheduled Time _ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken SIDEWALK AND STREET REPLACEMENT AT 3404 KROMERl.VE. <br /> RecOflimellded ACtiOn SIDEWALK REPLACEMENT. <br /> Approved By HMP HALE,IAICHAEL P. JOb COSf IflfOfff18fI0f1(Y/N) <br /> --- -- -- <br /> - Permit No <br /> Start Date � � Time Date Completed v�oi2o�2 __ <br /> Completed By 7ime Follow Up? _ _ _ <br />