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02 <br /> Work Activity Work Order �a9� 1 <br /> 8/1/20Jc 13:18 <br /> ISSUed By CAG CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued tti9i2oos <br /> Fund aot Account s Program 7to Funclion tig Activily 5so <br /> Program <br /> Title SO 2 INCH 1926 GRAND AVE 710119664 <br /> Work Order No Z0�5��29 Project Activiry Type CORRECTIVE MAINlENANCE S18�uS CL <br /> C`ate �zisizoos Time �3:3s Original WO ita�5 Billing <br /> Customer Information <br /> Customer Name Customer id <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Preblem !nlormation <br /> Address 19Y6 Slreet GRANDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Priority Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken <br /> �� <br />