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Work ,Activity Work Order <br />� <br />2age - <br />0/11i�00� 5:4' <br />ISSUCd By WMW WARD, MICHAEL W. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued erzznoo� <br />Fund ao� Account s Program »o Funclion »y Activity ssq <br />Program <br />fIIIB 50.751NCH 3728 GRAND AVE 770119664 <br />WOfk OfdOf NO 2�0��8�9 PfOJOCI Activity Type CORRECTIVE MAINTENANCE St8lU5 CL <br />Date 8/23/2007 Time io2� Original WO i2eoz Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Sub�ivision <br />Phone No ( ) - <br />Second Phone ( 1 - <br />E-Mail Address <br />Prablem Information <br />Address 3�y,q <br />From Cross St�eel <br />To Cross Street <br />City <br />Subdivision <br />Probiem <br />Sub Problem <br />Request:d By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Iniormalion <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street GRAND AVE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken BACK OF SIDEWALK, SOUTH OF ORIGINAL HOUSE <br />Completed By WDL WEAVER, DEAN L. <br />Start Date � i Time <br />Job Cost Informaiion(YIN) <br />Problem Details <br />Customer ld <br />Change Map YIN <br />2ip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Approved By <br />Date Compieted en3noo� <br />Follow Up? Permit No <br />Time <br />