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. � V <br /> , , ,� �-� <br /> Work Activit�� Work Order `'"� : <br /> :z;ie�;-ooc �:a� <br /> ISSUEd BY CAG CRUM,GERRY <br /> Issued Departmenl Pw PUBLIC WORKS <br /> Date Issued sneizoas <br /> Fund aot Account s Program �to Function tte Activity 66q <br /> Program <br /> TIIIC SO 4 INCH 11221 SILVER LAKE RD 710119664 <br /> WOfk OfdBf NO Z0�6�4�8 PfOJBCI Activity Type CORRECTIVE MAINTENANCc Sf8tU5 CL <br /> Date snarzooe Time o�st Original WO i223s Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address ��yy� Slreet SILVERLAKEfZD <br /> From Cross Streel <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 /> Iniliated From <br /> Ulility Locate (USA)No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contracter <br /> Assigned To <br /> Assigned By <br /> Assigner� Date To Be Comp Date <br /> Scheduied Date Scheduled Time <br /> Route Roule Sequence <br /> Comments TO BE B�LLED BY UTILITIES DEPT.BILL fACILITIES DEPT <br /> (032•520•7000-650) <br /> Aclion Taken <br /> z/�y <br />