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Work Activity Work Order �"3° ' <br />4/?4/700G 7:22 <br />___ -_ _._ .. __.___— _ . .. . ._ . .. . <br />ISSllOd 8y WMW WARD, MICHAEL W. <br />Issued Department rw PUBLIC WORKS <br />Date Issued 112 412 0 0 6 <br />Fund ao� Account s Program »o Funclion >>y Activity 6�e <br />Program <br />Tttl2 CONVERT 3925 GRAND AVE 710779675 <br />WOfk OfdOf NO Z��609�3 PfOJBCI ACIIVIty TyPE CORRECTIVE MAINTENANCE SI3IUS pR <br />Date aizarzoos Timem:�s Originai WO Biiling <br />Customer Information <br />Cuslomer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map YIN <br />Phone No ( ) • Ext <br />Second Phone ( 1 • Ext <br />E-Mail Address <br />Problem information <br />Address 39Yg Street GRANDAVE <br />From Cross Street <br />To Cross Street <br />City 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 />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Fstimated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ 'fo Be Comp Date <br />Scheduled Dale Scheduled Time <br />Route Route Sequence <br />Comments <br />ActionTaken _ --- _ — <br />— --' `'� -,�`--e �- �'` � � � ( �5 � 4� 4s �,_y_��L.�',�-r —��-0�p,r�'_ �n__C_'� <br />