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a <br /> Work Activity Work Order ,,,S,Zoos e:Z, <br /> ISSUBd By A6A AHLES,6REOORY A. . <br /> Issued DepaAment - <br /> Date issued e�a�� <br /> Fund �ot Account Type a Program tto Functfon toe Activity e�e <br /> Job Cost No - - <br /> Tl►le REPLACE 1731 Vv'ETMORE AVE 770109675 <br /> WOfk O�dBf NO 20040837 PfOj@Cl ACIIVIIy TypB CORRECTIVE MAINTENANCE Sl8lU5 CL <br /> Date artoi2o04 Time: _Original WO Date __ Billing _ __ _ . _ _ <br /> Customer Iniornation Customer ld <br /> Cusromer Name <br /> Address Street <br /> Apartment No City <br /> Stale Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext __ .. _. <br /> Second Phone ( 1 - Ext <br /> E-Mail Address - —- ---- - <br /> Problem Iniormation �.l ETry�o RL Gi,�G <br /> Address ��3� Streel W�I'y <br /> From Cross Slre et <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS <br /> Requested By Date Requested <br /> Agency Related Request <br /> Iniliated From <br /> Utility Locate(USA)No Called Date Expiration Date <br /> Assignmer.t Iniormatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrector <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time ___ <br /> Route Route Sequence <br /> Comments REPLACE SIDE SEWER <br /> Action Taken REPLACED SIDE SEWER�1731 WETMORE 6 1703 ROCKEFELLER. <br /> Completed By NCR Job Cost Informalion(YIN) <br /> Start Date � i Time Date Completed��2vzoos Time <br /> Approved By Follow Up7 Permit NoRECORDS <br /> Problem Datails MAY 12 2005 <br />