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. . oZ, <br /> Work Activity Work Order �='° - .. <br /> :oize;�oos _�:._ <br /> Iss::ed By CAG CRUM,GERRY <br /> Issued Department rw PURLIC WORKS <br /> Date Issued snzizaos <br /> Fund aot Account 5 Program »o Function »s Activity se4 <br /> Program <br /> TiUO SO]S INCH 8&12 3RD AVE SE 71011966J <br /> WOfk Ofd@f NO 20050862 PfOJ2C� AC'.iviry Type CORRECTIVE MAINTENANCE SIB1U5 CL <br /> Date s��zizoos Timeoe:5a Original WO �naz Billing <br /> Cuslomer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Slate ZiP <br /> Subdivision ';hange Map YiN <br /> Phone No 1 ) - Ext <br /> Second Phone 1 l - Ext <br /> E•Mail Address <br /> Problem Information <br /> Address 8842 Street 3RD AVE SE <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Relaled Request <br /> Iniliated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignnient Information <br /> Depl Priority Estimated Houre <br /> Crew <br /> Contrector <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments ! <br /> ActionTaken � ��`=�"��-LI�C` � IZ� 1L� � ��� � L� V����ctic�c�✓' �L� l l � <br /> I n <br /> 1.�5�� �� Ccr�5-1-��.� -1 ,'�� . , �� ress C4�c�wc�e, �"c� d�fZO <br /> � �T� <br /> C�� <br /> / <br />