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Work Activity Work Order <br />ISSUEd By WMW WARD, MICHAEL W. <br />Issued Departmenl Pw PUBItC WORKS <br />Date Issued snnom <br />Fund aot Account s Program »a Function »y <br />Program <br />TitIB CONVERT 3912 GRAND AVE 710119675 <br />Work Order No 20070385 Project <br />Date snnooi Time or.zs Original WO <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />Stale <br />Subdivision <br />Phone No l 1 <br />Second Phone ( 1 <br />E-Mail Address <br />Problem Infortnation <br />Address 391P <br />From Cross Streel <br />To Cross Slreet <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Ulility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Assigned Date _. _ _ <br />Scheduled Dale . _ _ __ _ _ <br />Route <br />Comments <br />Aclion Taken <br />Streel <br />Cily <br />Zip <br />Ext <br />Ext <br />Slreet GRAND AVE <br />Pa�e 1 <br />si�izo�„ ,::�� <br />Activiry s�s <br />AC1iVlty Type CORRECTIVE MAINTENANCE <br />Billing <br />Map Book <br />Called Date <br />To De Comp Dale <br />Scheduled Time <br />Route SeGuence <br />Cusromer ld <br />Change Map Y!N <br />Zip <br />Map Reference <br />Dale Requested <br />Related Request <br />Expiration Date <br />Priority Eslimated Hours <br />Sfa[US PR <br />