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Work Activity Work Order `°°' ' <br /> 12/31i2G0� 12:12 <br /> ISSUed By WMW WARD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 12/3112007 <br /> Fund aot Account s Program ��o Function �te Activity 6�5 <br /> Program <br /> 1 IU2 CONVERT 1028 49TH PL SW 710119675 <br /> Work Order No 20����26 Projecl ActivityType CORRECTIVE MAINTENANCE SIefUS PR <br /> Date t2i3vzoo� Time �2:os Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No C��Y <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l ) - Ext <br /> Second Phone ( ) • Ext —— <br /> E-Mail Address <br /> -__ . — _- -- - - - ------ <br /> Problem Information <br /> Address �pyg Street 49TH PL SW <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <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 Dale <br /> Assignment Information <br /> Dept 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 Seq�ience <br /> Comments <br /> l� Z - �Z �.1 ��..����(' .r'p ���r.c_ <�, �,� � -T� _�-t`--� — <br /> Action Taken — — _._� _ _— --- - �i --- __ �--_ ..� --- <br /> _ /��_�e.'� � � 3 t y� 3 �_� ���'�� l_��`��°��-���`�t� <br /> j% S <br />