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� <br /> Work Actiuity Work Order `�°�= ' <br /> 16/11/20U"7 13:15 <br /> ISSUCd BY CAG CRUM,GERRY <br /> Issued Departmen; �w PUBLIC WORKS <br /> Date Issued �n;;iuo� <br /> Fund aot Account s Program ��o Function ��g 4CtiVl�y ggd <br /> Program <br /> Tlll@ SO 75 INCH 4219 THOMSON AVE tlLOT 2 770119664 <br /> Work Order No Z����529 PfOJOCI Activiry Type CORRECTIVE AIAINTEt:ANCE Si2fU5 CL <br /> Date anarzoo� Tima to:zo Original WO �zan Billing <br /> Customer Informatfon <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone Na l ) • Ext <br /> Second Phone 1 ) • Ext <br /> E-Mail Address <br /> Problem Inf�rmation <br /> Address qZ�g Slreef THOMSON AVE <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requesled <br /> Agency Relaled Request <br /> Initialed From <br /> Utiliry Locate(USA)No Called Dale Expiration Dale <br /> Assignment Information <br /> Dept Prioriry Eslimated Hours <br /> Crew <br /> Contractor <br /> Assic�ned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken 9'RIGNT OF lEF7 AND 27'OUT. <br /> Completed By WDL WEAVER,DEAN L. AP�7fOVCd BY <br /> Slart Date � i Time Date Completed ennzoo� Time <br /> Job Cosl Information(Y/N) Follow Up? Permit No <br /> Problem Details <br /> (� �J <br />