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�. <br /> Work Activity Work Order F°�° � <br /> eiiizoob _�:2i <br /> ISSUCd By CAG CRUM,GERRY <br /> Issued Department rw PUBLIC WORKS <br /> Dale Issued 3izorzoos <br /> Fund 49t Account s Program 7to Function ttg Activity 6r,y <br /> Program <br /> TiUe SO 2 INCH 1401 MERRILL CREEK PKWY#2 710119664 <br /> WO�k OfdOf NO 20�6�662 PfOjECf Activity Type CORRECTIVE h7AINTENANCE S�BIUS CL <br /> Date sizo�zoos Time �a:se Original WO zoosioso Billing <br /> Customer Information <br /> Cuslomer Name Cuslomer ld <br /> Address Slreel <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YJN <br /> Phone No ( ) - Ext <br /> Second Phone l 1 • Ext <br /> E-Mail Address <br /> Problem Intormation <br /> Address �qp� Street MERRILLCREEKPKY <br /> From Cross Slreet <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA)No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assinned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduted Time <br /> Route Route Sequence <br /> Comments <br /> Aclion Taken <br /> �3 <br />