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� I <br /> Work Activity Work Order �' �3° ' <br /> ei:zizoo� e:�9 <br /> Issued By CAG CRUM,GERRY <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued 6I12I2006 <br /> �und qot Account s Program »o Funclion »g Activity 6» <br /> Program <br /> Title TAP BINCH 6300 MERRILL CRK PKWY"C"710119673 <br /> Work Order No 2006���7 PfOJCCI Activity Type CORRECTIVE h1AINTENANCE $IBfUS PR <br /> Dale snzizoos Time oe:n� Original Vi'O o�.Db(��O�$ Billing <br /> Customer Infarmation <br /> Cuslomer Name Customer ld <br /> Address Slreet <br /> Aparlment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 6300 Slreet �lERRILL CREEK PKY <br /> From Cross Slreet <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Prablem <br /> Sub Probiem <br /> Requested By Date Requested <br /> Agency Related Requcst <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assic�nme�t Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Conlraclor <br /> Assigned To yl� 'f� Z <br /> Assigned By '(�'�l � , <br /> Assigned Dale � - l�-U(� To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Roule Raute Sequence <br /> Comments st <br /> Action Taken <br /> �'��i,cG'�7�2�ov'������ <br />