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o� <br /> Work Activity Work Order pege 1 <br /> 8/17/2005 8:52 <br /> ISSued By-- -- WGIW --- WARD,MICHAEL W. . _� .. . � _. _ . . <br /> Issued Department Pw PUBLIC WORK6 <br /> Date Issued ��urzoos <br /> Fund �ot Account s Program »o Function tto Activity e�s <br /> Program <br /> TIfIB REPAIR 3715 SHORE AVE 710179875 <br /> WOfk OfdBf NO Z����B PfOJ9Ci Activity Type CORRECTIVE MAINTENANCE Sf81U3 CL <br /> Date mu2oos Timeoo:so Origfnal WO BIIIing <br /> Customer mfortn�tion <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YM <br /> Phone No ( 1 - Ext <br /> Second Phone c � • EX� RECORDS <br /> E-Meil Address <br /> Prob�em �ntormat�on SEP 0 7 ��5 <br /> Address 3»5 Street SHOREAVE 2 <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utitity Locate(USA)No Called Date Expiration Date <br /> Assignment Information <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 Scheduied Time <br /> Route Raute Sequence <br /> Comments <br /> Actlon Taken E%POSED,FR02E,REPLACED W/3ETTER.SETTER INSTALLED 18'LEfT OF RIGHT AND 110' <br /> OUT. <br /> Completed By KTJ KELSO,THOMAS J. JOb COSI II1fORf18t�Of1('i M� <br /> --- --- _ ----- <br /> Start Date � � Time Date Completed ���eisoo5 Time <br /> Approved 8y Follow Up? Pertnit No <br />