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Work Activity Work Order <br />� <br />Puge i <br />li/1°/200N !2:42 <br />ISSUOd By CAG CRUM,GERRY <br />Issued DepaRment aw PUBLIC WORKS <br />Date Issued 6ienoo7 <br />Fund aot Account s Program »a Function ��y Activity s5a <br />Program <br />TitIC SO 1 INCH 2324 HILISIDE LN 770119664 <br />WOfk Ofd@f NO Z00%O4H9 PfOJBCI Activity Type CORRFCTIVE MAINTENANCE StBIUS CL <br />Status s�e�2oo� Time or.ae Original WO i2a�s Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />St2le <br />Subdivision <br />Phone No ( ) <br />Second Phone l ) <br />E-Mail Address <br />Problem Information <br />Address 2324 <br />From Cross Street <br />To Cross Streel <br />Ciry <br />Subdivision <br />Problem <br />Sub Probiem <br />Requested By <br />Agency <br />Iniliated From <br />Ulility Locale (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contraclor <br />Assic�ned To <br />Assigned By <br />Assigned Dale <br />Scheduled Date <br />Ro� a <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Exl <br />Street HILLSIDE LN <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estin,ated Hours <br />Action Taken EAST SIDE OF DRIVEWAY: 8' LEFT OF RIGHT AND 204' OUT. <br />Recommended Action <br />Approved By TDE1 THOMPSON, DWAYNE E. <br />Start Date i � Time <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed �o�3v2ooe Permit No <br />Time Follow Up? <br />