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, � <br /> Work Activity Work Order ' � ' <br /> ; : : �; <br /> IStiuBd 6y WMW WARD,MICHAEL W. <br /> ISSucd DCpaf�nlCn1 PW PUBLIC WORKS <br /> Dalc Issued in�noa9 <br /> Fund 4ot Accoun� 5 Program �to Punchon ttg Achwty 675 <br /> Pro�ram <br /> TIIIC REPAIR 10507 3RU�VE SE 710119W5 <br /> Work Order No 20090135 Projecl Aclivity Type corai<ecm�r: r.»wTer�,vdce Stalus c� <br /> Slatus v3orzoo� Time tt co Original WO Billing <br /> Cuslomer Informalion <br /> Customer Name Customer ld <br /> Address Slrccl <br /> Apartment No City <br /> Slate Zip <br /> Subdivision Chanc�e Map Y/N <br /> Phone No � ' - �x� <br /> Secund Phone � � - Ext <br /> Gh4ail Address <br /> Problem Information <br /> Address 10507 Sheet 3RD AVE SE <br /> From Cross Street <br /> To Cross Sireel <br /> Ciry ZiP <br /> Sul�division Map Book Map Re(erencc <br /> Problem <br /> Sub Problem <br /> Riquesled Ciy Dale Requesl�.d <br /> Agency Related Request <br /> Indiated From <br /> Ulilily Locale(USA) No Called Datc Expiration Date <br /> Assignment Information <br /> p���� Priority Estimaled Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> l�ssigred By <br /> �ssigned Date To Be Comp Date <br /> Sctieduled Date Scheduled Time <br /> Ruute Routc Sequence <br /> Comments <br /> Action Taken R[PLACED DAMAGEO SECTION OF POLY. <br /> Recommended Action <br /> �PP�o�'ed Dy csc ����'nNnr;. sttnNe c Job Cosl Informalion(Y/N) <br /> St;xt Datc r � Time Date Comp!eted v�vzoos Pennit No <br /> C�mplc�ed f3y Timc Follow Up? <br />