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. <br />Work Activity Work Order Paqe � <br />6/9/2005 1�:38 <br />ISSU@d By --- CAO ------ CRUM, 6ERRY --- --�-� -- — - - � - ---�----- - - - - �-- - � - <br />ISSUBd D@peRrtl9flt PW PUBLIC WORK3 <br />Date Issued ero�soos <br />Fund �o� Account s Program »o Function ��y Activiy e» <br />Program <br />TIdB TAP 21NCH 8808 WETMORE AVE 710179873 <br />Work Order No ���57� ProJect Activity Type CORRECTIVE MAINTENANCE Status prt <br />Date _ __ arenoos __ Time�4:sz _ Original WO ___ __ Billing <br />Customer Informatlon <br />Customer Neme <br />Address eeoe Street we7Morte �ve <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( 1 - Ext <br />Second Phone ( ) • Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map BooN <br />Problem WATER WATER ' ' <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date <br />Assipnment Infortnation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date ___ To Be Comp Dale _ <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments �7 ���JJJ <br />Action Taken (��i`P �� `����, � <br />�� y <br />--�D-'�---- -- � d <br />Customer ld <br />Change Map Y!N <br />-----��" C�1Pi ��---- <br />—SE�_�_'%_ �0�5 -- <br />Zip <br />Map Refere�ce <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />� <br />