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, � <br /> Work Activity Work Or�er pa9� ' <br /> 12/18/2006 9:;i <br /> IsSUBd By CAG CRUM,GE�RV <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued s�s�zoos <br /> Fund ao� Account s Program �to Function tta Activity s� <br /> Program <br /> TIll2 SO 1 INCH 2501 MELVIN AVE NAB� 710119664 <br /> WOfk OfdBf NO �OObO� PfOjOCt ACtivily TypQ CORRECTIVE MAINTENhNCE S18WS CL <br /> Date 5%5/2006 TIfT1C 07:41 Ofi9if181 WO 12038 Bllllfl9 <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apariment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No � ) - Exl <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address pgp� Street MELVINAVE <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Relaled Request <br /> Iritiated From <br /> Utility Locate(USA) No Called Date Expira!�on Date <br /> Assignment Information <br /> Depl Priority Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Da1e <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken »��EFT OF RIGHT AND 71'OUT. <br /> COrilnlCfed By KTJ KELSO,THOMAS J. App�OV2d By <br /> St3rt Dale i i Time Date Completed 11174l2006 Time <br /> Job Cost Information(Y/N) Foilov:Up7 Permit No <br /> ProblEm Details <br /> �5 <br />