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Work Artiv6ty Work Order `'°�° � � <br /> z,�„z�o� �.,:o�, <br /> ISSUed By WMW WARD,MICh1AEL W. <br /> Issued DepartmentPw PUBLICWORKS <br /> Daie Issued ziv�zooe <br /> Fund aoi Account 5 Program »o Punction �t9 Activity s�s <br /> Program <br /> TItlB CONVERT 7117 RAINIER DR 710119675 <br /> WCfk O�d2f NO 2OO6OZZH PfOJBCf AChVI�y TyPe CORRECTIVE MAINTENANCE SfBIUS pR <br /> Date zmnoos Time�asa Original WO Billing <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Aoartment No City <br /> Stale Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address ���� Street RA/NIER DR <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivisic,n Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Relaled Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pr,ority 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 /> Commcnts �' � <br /> .%l�� � `�/a 9 SSt� � � <br /> ;,ction Taker� — - - { � �� �� �� � <br /> � 3 rJ'�-�C ._--- --- --- <br />