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Work Activity Work Order � ���r ' <br /> �zn�iizo�;� �,: ,n <br /> ISSUEd By WMW WARD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 1211812006 <br /> Fund ao� Account s Program �to Function »y Aclivity s�s <br /> Program <br /> Tllls CONVERT 3177 NORTON�1VE 710119675 <br /> WOfk Ofdef NO 20061653 PfOjeCt Activity Type CORRECTIVE MAINTENANCE S18tUS PR <br /> Date 12ItB12006 Time or.zs Original WO Billing <br /> Customer Informalion <br /> Cusromer Name Cuslomer ld <br /> Address Street <br /> Apartmenl No City <br /> Stale Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone 1 ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3117 Street NORTONAVE <br /> From Cross Streel <br /> To Cross Street <br /> Ciry Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Requesl <br /> Initiated From <br /> Ulilily Locate(USA)No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Da�e To Eic Comp Date _ <br /> Scheduled Da�e Scheduled Time <br /> Roule Route Sequence <br /> Comments -7}- � �/ p <br /> Aclion Taken --'�Z��-� .yrl-�����7 �-L�(.en.iL� ��,�.�_(I�S�[ � <br /> U <br /> -� - � -�..---c����,� <br />