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Work Activity Work Order �a9A 1 <br /> 9izeizoo� io:as <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Department <br /> Date Issued 4I2312004 <br /> Fund aot Accoun[5 Program »o Function t�s Activity es� <br /> Program <br /> TIfIB SO]5 INCH 29 11024 MER�OIAN PL W 710119664 <br /> Work Order No 20�4040� PfOJBCI Activiry Type CORRECTIVE MAINTENANCE SI01U5 CL <br /> Date arz3ncoa Time : Original WO i�ssa 9illing _ <br /> Customer Infortnation <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 ( 1 - Ext <br /> Second Phone ( l - Ext — <br /> E-Maii Address <br /> Problem Information <br /> Address ��ppq Street MERIDIAN PL W <br /> From Cross Street <br /> lb Cross Street <br /> City Zip <br /> Subdivision ;Aap Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request ooaz6oe <br /> Initiated From <br /> Utility 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 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. APpfOV2d By <br /> Start Date I i Time Date Completed 5�tv2oa _ Time _ <br /> Job Cost Information(Y/N)_ Follow Up? Permit No <br /> Problem Details <br />