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. � <br /> Work Activity Wark Order FdSe ' <br /> 8/1/2006 13:35 <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Department aw pUBLIC WORKS <br /> Date Issued a2s�zoos <br /> Fund 40� Account s Program »o Function »y Aclivity eW <br /> Program <br /> Ti��e SO 1 INCH 2402 MFLVIN AVE#D 710119664 <br /> WO�k OfdBf NO Z0�6�9�g PfOJCCi Activity Type CORRECTIVE MAINTENANCE Sl8lU5 CL <br /> Date ai2snooe Time �o:t2 Original WO tzots Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Stale Z�P <br /> Subdivision Change Map YIN <br /> Phone No 1 1 - Ext <br /> Second Phone ( � • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address yqpp Street MELVINAVE <br /> From Cross Streel <br /> To Cross Street <br /> Ci�y Zip <br /> Subdivision Map Book Map r2eference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requesled <br /> Agency Relaled Request <br /> Initiated From <br /> Utility Locate(USA)No Called Date Expiration Date <br /> Assignment Information <br /> Dept ��iority Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Act�on Taken EAST OF EASEMENT RD:22'RIGHT nF LEFT AND 225'OUT. <br /> Completed By WDL WEAVER,DEAN L. AppfOVBd By <br /> Start Date � � Time Date Comple!>d �nv2oos Time <br /> Job Cost Information(Y/N) Follow Up? Permit No <br /> Problem Details � <br /> �� <br />