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� <br /> Work Activity Work Order °a�P 1 <br /> :;����o�:- _c:_, <br /> ISSUed By CAG CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued :snenao� <br /> Fund aot Accounts ' f'rogram »o Function ��9 Activiry s�3 <br /> Proc�ram 1.:r— <br /> TIll2 TAP BINCH 6003 23ii%AV�W 710119673 <br /> WOfk OfdOf NO 2�0�026$ PfOJBCt Activity Type CC�RRECTIVE MAIN.TENANCE Sf8lU5 CL <br /> Date 3129/20D7 Tlfil2 08:11 Ofl(�if181 WO 20070267 Bllllfl�� <br /> Custr,mer Information <br /> Cu �tomer Name Custorner ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ! ) - �xt <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problen� Information <br /> Address 6003 Slreet y3RD DR W <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book M3p Reference <br /> Prot�i�m <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiat�d From <br /> Utility �ocate (USA) No Called Date Expiration Date � <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 __ • ; 6` :,, , <br /> Scheduled Date Scheduled Time � , � <br /> Route Route Sequence ���` �L��' <br /> Comments BILL JOB(il2) <br /> Action Taken -• — - <br /> � o <br /> ----_ T STING �3 a � <br /> ,0 PO <br /> '�z <br />