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� �� � �� r�� �°� � <br /> Work Actevity Work Order �'�° 1 <br /> 10/28/2005 13:57 <br /> ISSUCd BY CAG CRUM,GERRY <br /> Issued Departmenl Pw PUBLIC WORKS I <br /> Date Issued 911412005 <br /> Fund aot Account 5 Program tto Function tte Activity ssa � <br /> Program <br /> TIIIC SO� NCH 17831 S SPADA RD 710118664 <br /> WOfk OfdCE NO 20050888 PfOJBCI Activity Type CORRECTIVE MAINTENANCE S�BiUS CL <br /> Date �nanoos Timeos:ao Original WO t��as Billing <br /> Customer Information � <br /> Custom�r Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l ) - Ext <br /> Second Phone ( ) - Ext R <br /> E-Mail Address <br /> Problem Iniormation <br /> Address 17H31 Street SPADA RD <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 Requested <br /> Agency Related Request <br /> initiated From <br /> Utility Locate(USA) No Called Date Expiiation Date <br /> Assignment Infarmation <br /> Dept Priority E�timated Hours <br /> Crew <br /> Contraclor <br /> Assigned i o <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Raute Roule Sequence <br /> Comments <br /> Action Taken KILL OLD Jl4 NS B'DEEP TAPPED ON TOP <br /> OLD APP 12343 <br /> Completed By Nso Nie�seN,sco77 0. Job Cosl Information('//N) <br /> Start Date i � Time Date Completed �m�yzoos Time <br /> Approved By Follow Up? Permit No <br /> !�' <br />