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Work Activity Work Order Page � <br /> 8/6/2006 8:56 <br /> ISSUOd BY WMF WELLMAN,MARK F. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued e�sizoos <br /> Fund aot Account s Program »o Function �te Activity 6» <br /> Program <br /> TIfIB REPAIR 12INCH CI WATER 2703 PACIFIC 710179673 <br /> Work Order No 20061292 Project Activity Type SERVICE REQUEST Status ap <br /> Date 8/6/2006 Time oa:5a Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Street <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 Iniormation <br /> Dept Priority Estimated Hours <br /> Cre�v <br /> Contracror <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments � n �/ /` <br /> Action Take� ���G�/ �Zx�Z-✓� � TLL -��-'-"-`� <br /> /y �j /2 ��„�' __��,�. <br />