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3 <br />Work Activity Work Order F��°° ' <br />�o,zF�z���� �3:�.� <br />IsSU@d By CAG CRUM,GERRY <br />Issued Department P�N PUBLIC WORKS <br />Date Issued �nsnoos <br />Fund qpi Account s Program »o Function »y Aclivity 664 <br />Program <br />Titie SO J5INCH 7 W MARILYN AVE tlL0T2 710119664 <br />Work Order No 20050T00 Pf0)2Cf Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br />Date ;nsrzoos Timeo�:is Original WO tises Billing <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( ) <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address � <br />From Cross Street <br />To Cross Street <br />Cily <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Ac�ency <br />initiated From <br />Utilily Locale (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Dale <br />Scheduled Date <br />Roule <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street yyMARILYNAVE <br />Called Date <br />To Be Comp Date <br />Scheduied Time <br />Route Sequence <br />Action Taken 4' R OF L+43' OUT FROM 3 W MARILYN <br />Completed By KT� <br />Start Date � <br />Approved By <br />KELSO, THOMAS J. <br />I Time <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Information(Y/N) <br />Date Completed �on�noos <br />Fallow Up? Permit No <br />Time <br />Problem Details � <br />�� <br />