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y <br /> 1Mork Activity Work Order Parn ' <br /> 12/6/2upl _0:58 <br /> ISSt1Bd By CAG CRUM,GERRY <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued 3ne�zao� <br /> Fund aot Account 5 Program 7to Function »y Activiry s�3 <br /> Program <br /> Tllle TAP 8 INCH 6003 23RD DR W 710119673 <br /> WOfk OfdOf NO Z00��26� Project ACtlVlfy Ty�C CORRECTIVE MAINTENANCE SfBtUS CL <br /> Date 3l28l2007 Tlfll2 06:08 Original WO zoo�o2sa Billiflg <br /> Customer Iniorrsation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y!N <br /> Phone No ( > - Ext <br /> Second Phone f ) • Ext <br /> E-Mail Address <br /> Problem Infurmation 1 t _ <br /> Address 6003 Street y3RD A1TE W <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Apency Related Request <br /> Initiated From <br /> Utility Locate (USA) ho Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Confractor <br /> Assigned T� <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Seyuence �;i;e. ,'�s i1:��9 <br /> Comments BILL JOB(#1� <br /> Action Taken ���� '� `� 7�Qr' <br /> /� <br />