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Work Activity Work Order =zQf ' <br /> 12/20/2uC5 9:35 <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �v�sizoos <br /> Fund aot Account 5 Program »o Function t�s Activity eca <br /> Program <br /> TitlB SO 2 INCH 1401 MERRILL CRK PKWY 71011966a <br /> WOfk OfdBf NO 20051151 Pf0)0Cl Aclivity Type CORRECTIVE MAINTENANCE S�BIUS PR <br /> Date tvtsi2oo5 Timeoe:25 Original WO 2oosita2 Billing <br /> Customer In(ormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address qqp� Street MERRILL CREEK PKY <br /> From Cross Street <br /> To Cross Slreel <br /> Cily Zip <br /> Subdivision Map Book Map Re(erence <br /> Problem <br /> Sub Probiem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Ulility Locate(USA)No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priorily Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments K�< <br /> Action Taken - --- --- -- - _ - -- _ ---- - _ _ <br /> � <br />