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���,� v�� �2 <br /> r, � rt1 �;ti.� <br /> o i S 5T <br /> z 4 � z - 3 tS r�> <br /> � �9� ����� _ '; �.� <br /> , <br /> , - t--� <br /> ,. <br /> W�r�C Activity Work Order Page � <br /> 10/2�!7005 11:18 <br /> ..-- -- -- �--- ----------..-- --- - .__ . _ .. . .. . . . . . . ..-- � — ------ - <br /> Issued By WMW WARD,MICH,4EL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �onarzoo5 <br /> Fund qo1 Accounf 5 Program »o Function ��y Activity s�s <br /> Program <br /> Tlfle KILL 3807 SMITH AVE 71p119675 <br /> WOf1:Ofdef NO ZOO5O9�E PfOJOCI Activity Type CORRECTIVE MAINTENANCE St2lU5 CL <br /> Date 10i14/2005 Timetz:3� Original WO _ Billing <br /> Customer Informatlon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment Nn Ciry <br /> State Zip I <br /> Subdiv�sion Change Map Y/N <br /> Phone No ( ) - Ext ', <br /> Second Pnone ( ) - Ext - -- - - - <br /> E-M2il Address <br /> Problem Information <br /> Address 3801 Street SMIThl AVE <br /> From Cross Slreet <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 Reiated Request <br /> Initiated From <br /> Utilily Locate (USA) No Called �ate Expiration Date <br /> Assignment Information <br /> Gept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ _ _ _ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> A.ction Taken LINE REMOVED FROM CORP AND CORP CAPPED APP#10337 <br /> DORMANT SVG FOR 2412 38TH WILL BE READDRESSED AT 9801 SMITH AVE. APP 7l10794 <br /> Compieted By K�� KELSO,THOMAS J. JOb COS� Inf0�R121i0�(YIN) <br /> Start Date I � Time Dale Completed �aia�aoos Time <br /> -- — --- - - -- — - --- <br /> Approved By Follow Up7 Permi? No <br />