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Work Activity Work Order Paoe � <br /> 9/2J/20G7 10:y5 <br /> ISSUBd BY CAG CRUM,GERRY <br /> Issued Department <br /> Date Issued a�zs�zoaa <br /> Fund qp� Account s Program �to Function tte Activiry �;s4 <br /> Program <br /> Title SO.75 INCH 29 11016 MERIDIAN PL W 710119664 <br /> WOfk Ofd@7 NO 2��404�3 PfOJ2C► Activity Type CORRECTIVE MAINTENANCE S►8�U5 CL <br /> Date 4123/2004 TI�I1e : O�igiflel WO 17332 Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext -- ----- <br /> E-Mail Address <br /> Problem Information <br /> Address ��p�g Street MERIDIAN PL W <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Prob�em <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Cailed Date Expiration Date <br /> Assignment In(ormation <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 OUTSIDE CITY <br /> Action Taken NORTH EAST PROPERTY LINE. <br /> Completed By KTJ KELSO,THOMAS J. App�Oved By <br /> Start Date _ _ i � _ Time ___ Date Completed 5nU2oa _ Time ___ <br /> Job Cost Iniormation(YIN) Follow Up? Permit No <br /> Problem Details <br />