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. � <br /> , - . <br /> : . . -. .. ,�� s' <br /> Work Activity Work Order `'�3° 1 <br /> 3/]3/20J7 10: 17 <br /> ISSUCd By CAG CRUM,GERRY <br /> Issued Deparlment rw PUBLIC WORKS <br /> Date Issued 6nvzoos <br /> Fund aoi Accounl s Program �to Function >>y Aclivity e�a <br /> Program <br /> Tlfl@ TAP 81NCH 6300 MERRILL CRK PKWY'C 710119673 <br /> WOfk OfdCE NO Z��6�07$ PfOJECI ACIIVIIy Typ2 CORRECTIVE MAINTENANCE SlBIUS CL <br /> Date 6I7212006 Time os:a� Original WO zoosto» Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Streel <br /> Ap�riment No City <br /> Slate Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - [xt <br /> E-Mail Address <br /> Problem Information <br /> Address 6300 Slreet MERRILL CREEK PKY <br /> From Cross Streel <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Probiem <br /> Requesled By Dale Requested <br /> Agency Relaled Request <br /> Initialed From <br /> Ulilily Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONTRACTOR PROVIDED PARTS. <br /> Compieted By CAG CRUM,GERRY Approved By <br /> Start Date r i Time Date Completed vvzooi Time <br /> Job Cost Information(Y/N) Follow Up? Permit No <br /> Problem Details <br />