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Work Activity Work Order �'�� � ' <br /> �;za�._o,:; _ <br /> 155UCd By CAG CRUM,GERRY <br /> Issued Department rw PUBLIC WORKS <br /> Dale Issued snti2oo5 <br /> Fund ao� Accaunt 5 Program 7to Fi�nclion >>g Act�vlly sea <br /> Program <br /> TitIC SO 751NCFI 8838 3RD AVE SE 710119u64 <br /> WO�k OfdCE NO 20050880 PfOjOCI Acirvity 1 ype C'1RRECTIVE MAINTENANCE Sl8lU5 CL <br /> Dale s�i2noo5 Time o2sa Original WO ii�ao Billing <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Slreet <br /> AparimeM No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No l ) • Ext <br /> Second Phone ( 1 • Ext <br /> F-Mail Address <br /> Problem Information <br /> Address 8838 Strcet 3RD AVE SE <br /> From Cross Slreel <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Dook Map Re(erence <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Related Request <br /> :niliated From <br /> Utility Locale (USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Depl Prioriry Estimaled Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> P.ssigned [3y <br /> Assigned Dale To Be Comp Datc <br /> Scheduled Date Scheduled Time <br /> Raule Route Sequence <br /> Comments <br /> �clion Taken <br />