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1 c .-I. . ,,,A:1i1�1:� � r 'tili �illlif.�.-'t" C� �� /.�'I Ll'2S �P�'Y')'e�P(� /�yL '�' 115�� <br /> 1i�1., ���.� - <br /> �(� I: „ . ��_ � , '�� i t rl. i�q . <br /> Work Activity Work Order � °��� ' <br /> :ve�^nn; ,o:�;; <br /> ISSUBd By CAG CRUM,GERRY <br /> Issued Department pw PUBLIC WORKS <br /> Date Issued 9172I2005 <br /> Fund ao� Account 5 Program »o Function ��y Activity fi6n <br /> Program <br /> T1�I@ SO.75 INCH 8014 3RD AVE:E 710119664 <br /> WOfk OfdOf NO 20050878 PfOJBCI Activity Type CORRECTIVE MAINTF.NANCE $�BIUS CL <br /> Date snzrzoos Time oe:sa G4iginal WO �naa Billing <br /> Customer Information <br /> Cuslumer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State . ? <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Informatinn <br /> Address 8814 Slreet 3RD AVE SE <br /> From Cross Street <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requesled <br /> Agency Relaled Requesl <br /> Initiated From <br /> Utility Locale(USA)No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Coniractor <br /> Assigned To <br /> Assiyned By <br /> Assigned Dale To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Route Raute Sequence <br /> Comments <br /> Adion Taken <br /> �/� <br />