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�3/i � �l/�-� � � <br /> Work Activity Work Order ��9° 1 <br /> 8/2B/200G 11:07 <br /> .___. _ . __-- - ---�- - - - �- -- -- - - --- - - -- - ---- - _ . <br /> ISSUBd By WMW WARD,MICHAEL W. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued e�zenoos <br /> Fund qo� Account 5 Program »o Function tte Activity 675 <br /> Program <br /> TIfl2 CONVERT 3711 NORTON AVE 710119675 <br /> WOfk OfdBf r10 20061375 PfOJOCI Activity Type CORRECTIVE MAINTENANCE St8�U5 PP <br /> Date arza�zooa Time �tos Original WO Billing _ _ _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 • Ext - <br /> E-Mail Address <br /> Probtem Information <br /> Address 3»� Street NORTONAVE <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 Erairation Date <br /> Assignment Information <br /> Dept Priority Estimated 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 /> /�� `' /� /�G� . <br /> Action Taken ' f��'�' r � D���_ _C..I ! 7 - - -- - - _�l. ��� <br /> / CJ <br /> `� l� °�-��v✓'- �"`�``f /�-�`-- <br /> -� -� � _�Y_7os� 7v�ya <br />