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Work Activity Work Order <br />ISSUEd By WMW WARD, MICHAEL W. <br />Issued Departmenl rw PU�LIC WORKS <br />Date Issued vtvzooe <br />Fund 4ot Accounts Program �to Function >>y <br />Program <br />TI(If; RflPAIR 927G 3RD PL SE 710119675 <br />Work Order No 20060094 Projed Activiry �'ype SERVICE RE�VEST <br />Date vizizooe Timei�r2s Origir.alWO Billing <br />Customer Information <br />Customer Name PACIFIC CABLE <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No 1 2os 1 7ao-o�2t <br />Second Phone 1 ) - <br />E-Mail Address <br />Problem Information <br />Address g?Zp <br />From Cross SUeel <br />To Cross Street <br />City <br />Subdivision <br />Slreet <br />Ciry <br />Zip <br />Ext ce�� <br />Ext <br />Slreel 3RD PL SE <br />Problem WATER WATEIi <br />Sub Problem OTHER OTHER <br />Requested By HSR HOFFMAN, STEVC-N R. <br />Agency <br />Initiated From PUBLIC PUOLIC <br />Utility Locate (USA) No <br />Assignment Informalion <br />� ' Dept <br />Crew <br />Contractor <br />Assigned To wMw <br />Assigoed By <br />Assigned Dale <br />Scheduled Date <br />Koute <br />Comments <br />Customer ld �or+es, sreve <br />Change Map Y/N <br />Zip <br />Map Book Map Re(erence <br />Called Date <br />W.'�RD, MICHAEL W. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken REPLACE 18" OF COPPER WIPOLY <br />Completed By ��.P�U-Wl �rn,.l�— <br />Start Date i � �� Time <br />Approved By <br />Problem Details <br />Expiration Date <br />r.��„ � <br />��� �,on�, ta:zi� <br />Aclivity 6�5 <br />Status prt <br />Date Requested v�znoos <br />Relaled Request 000s3�as <br />Priority Eslirnaled Hours <br />Job Cost Information(Y/N) <br />Date Completed � i�� ��y�" <br />Follow Up? ermit Nd <br />Time <br />