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X � <br /> Work Activity Work Order � � �� � <br /> _ , � , <br /> ISSUCd By CAG CRUM,GERRY <br /> issued Deparlment Pw PUOLIC WORKS <br /> Drjle Issued e�snoos <br /> Fund 40� Accounl s Program »o Function »9 Activity 67] <br /> Program <br /> TIUC TAP 2 INCH 7821 UPPER RIDGE RD 710119673 <br /> WO�k OfdCE NO 20050763 P�O�CCI Aclivity Type CORRECTIVE M1fAMTENANC[ S�eIIIS pR <br /> Dale e�sizoos Timeos:3a Original WO Billinc� <br /> Customcr Information <br /> Customer Name Cuslomer ld <br /> Address Slreet <br /> Apartment No Cily <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 78P1 Slreel UPPER R/DGE RD <br /> From Cross Streel <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Relaled Requesl <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expira�ion Dale <br /> Assignment In(ormation <br /> ��OF�� Priority Estimated Hours <br /> Crew <br /> CoNraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Da�e To Be Comp Dale <br /> Scheduled Date Schedule�'l ime <br /> Route Route Sequence <br /> Comments <br /> Action Taken <br />