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� <br /> ,, . <br /> Work Activity Work Order Pd9e ' <br /> ���3,�ao, ��:�� <br /> ISSLI�d BY CAG CRUM,GERRY <br /> Issued Department Nw PUBLIC WORKS <br /> Date Issued snzizoo� <br /> Fund 4ot Account 5 Program »o Funclion tt5 Activity 6i� <br /> Program <br /> TiUe TAP 8 iNCH 6300 MERRILL CRK PKWY"C'710119673 <br /> WOfk OfdCE NO z��s���l PfOjOCt ACliVlty TyPB CORRECTIVE MAINTENANGE Sl0lU5 CL <br /> Dale snzizooe Time os:a� Original WO Billing <br /> Customer Information • <br /> Customer Name Customer ld <br /> Address Streel <br /> Apartmenl No City <br /> Slale Zip <br /> Subdivision Change Map Y1N <br /> Phone No l ) - Ext <br /> Secand Phone l 1 - Exl <br /> E-Mail Address <br /> Problem Information <br /> Address 6300 Street MERRILL CREEK PKY <br /> From Cross Slreel <br /> To Cross Streel <br /> Cily Zip <br /> Subdivision Map Book Map Reference <br /> Pr,olem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Iniliated From <br /> Utilily Locate (USA) No Called Dale Expiralion Dale <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> CoNractor <br /> Assic�ned To <br /> Assigned l3y <br /> Assigned Date To 8e Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Raute Route Sequence <br /> Comments �� <br /> Action Taken CONTRACTOR PROVIDED PARTS. <br /> CO��{llelCd 8y CAG CRUM,G[RRY Approved By <br /> Start Date i r Time Date Compleled vv2ao� Time <br /> Job Cost Information(YIN) Follow Up7 Permit No <br /> Problem Details <br />