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NO MATERIALS <br /> Work Activity Work Order Page � <br /> 4/19/2012 14:56 <br /> ISSUOd By SR4 SORGEN,ROBERT A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued toirno�� <br /> Fund �pa Account s Program eao Function toe Activity s�t <br /> Program <br /> TItlB SIDEWALK REPLACEMENT 1420 VYETMORE 840108611 <br /> WOfk OfdOf NO ZO'I'I24O6 PfOJBCI Activity Type CORRECTIVE MAINTENANCE S18�U5 CL <br /> Status �mrnzo�� Time �e_ae _ Original WO _ Billing __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �qyp Street yyETMOREAVE <br /> From Cross Streel <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Reiated Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ _ __ To Be Comp Date <br /> Scheduled Date Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> ActionTaken -- -- ---- - --- ----- - ___ - - - <br />