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� <br /> Work Activity Work Order � � <br /> _ ,�.:�-. <br /> 155uCd By MWE MOORE,WARREN[. <br /> Issucd Deparlmenl Pw Pl1BLIC WORKS <br /> Dale Issued JI6120W <br /> Fun�! qo� Account 5 Program 7�o Funclion >>g Activity 6�s <br /> Program <br /> Ti11C RC PAIR 10805 3RD�VE S[ 710119675 <br /> Work Order No 20090316 Projecl Activiry Type co�:itecriv�r.�nwreNnrace Slatus e� <br /> Status 3�9izoo9 Tinte t2:te Original W�) 6illinp <br /> Customcr Information <br /> Customcr Name Cuslomer ld <br /> Address Slreet <br /> Apartmenl No Cily <br /> Slate 7-ip <br /> Subdivision Change Map Y/N <br /> Phone No l 1 - E�t <br /> Secend Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 10805 Sireet �RD AVE SE <br /> From Cross Slreet <br /> To Cross Slreel <br /> City Zip <br /> Subdivision Map Book f�dap Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requesled <br /> Ac�ency Reiated Request <br /> Indiated From <br /> Utdity Locale (USA) No Called Dale Expiralion Dale <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrer.toi <br /> i�ssigned lo <br /> �ssigned ay <br /> As;igned Dale To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken REPLACED 6FT OF CGPP[R TO FIX BAD SPOT <br /> Recommended Action <br /> Approved By Ku Ke�so, ri{on�ns� Job Cosl Information(YiN) <br /> Starl Qate � � Time Date Compleled 3/92009 Permil No <br /> Compiclad 6y Time Follow Up? <br />