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' (,,c'�! ( '�4'(� r���.l` , ;�Lc �-C',� <br /> Work Activity Work Order E'°:,., 1 <br /> ��zni..o��o iz:so <br /> Issued By WMW WqRD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Datelssued nzonoos <br /> Fund ao� Account 5 Program »o Function ��y Activity 6�s <br /> Program <br /> TiIIB REPAIR 2605 VIEWCREST AVE 7101�9G75 <br /> Work Order No ?OOB'IZZZ PfOJBCI Activity Type CORR[CTIVE FdAWTENANCE S18�US PR <br /> Date rzorzoos Time izna OriginalWO Billing <br /> Customer Iniormalion <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Clty <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No l ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 2605 Slreet VIEWCRSSTA✓E <br /> From Cross Street <br /> To Cross Street <br /> Cily Z�P <br /> Subdivision Map Book Map Reterence <br /> Problem <br /> Sub Problem <br /> Requested By <br /> Date Requested <br /> Agency kelaled Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assic�nment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contracror <br /> Assigned To <br /> Assigned By <br /> Assigned Date To 8e Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments f // / <br /> Action Taken <br /> '- � Y-�o G.� � 473 iY_ ( I S�t�F�-C�Lr + �,.yc� y�c <br />