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� <br /> Work Activity IdVork Order P�9� 1 <br /> . _. _. 5/.il/?005 9:39 <br /> ISSUBd By WMW WpRD,MICHAEL W. <br /> Issued Department rw pueLlc WORKs <br /> Date Issued s�srzoos <br /> Fund 4ot Fund s Program »o Puaction ��s Activity s75 <br /> Program Function Activity <br /> TIIIC REPAIR 405 47TH ST SE 710119675 <br /> WOfk OfdBf NO Z��5�464 PfOJBCf Activity Type CORRECTIVE MAINTENANCE S�BfUS CL <br /> Date sisnoos Time�S:aa_ Original WO Billing <br /> Custamer Information <br /> Customer N�me Custumer!d <br /> Address Street <br /> Apartment No Cily <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Fxt <br /> Second Phone ( ) - Ext — — -- - - <br /> E-Mail Address <br /> Problem Information - - - -- — <br /> Nddress 405 Stree: 47TH ST SE <br /> From Cross Street <br /> To Cross Straet <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 Expiration Date <br /> Assignment Informa:ion <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 Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken 48'RIGHT OF LEFT AND 39�o�T FROM 50 4,TH 5T. RECORDS <br /> CURB STOP REMOVED AND SETTER INSTALLED. <br /> JUN 15 2005 <br /> Campleted By Kr.l KELSO,THOMAS J. JOb COSf Ifl(Off118fI0f1(Y/Pi1 <br /> Start Date i i Time Date Completed 5isi2oos Time <br /> Approved By Follow Up? Permit No <br />