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� <br /> Work Activity Work Order °'�°�� = <br /> �i;a��oo, a: i9 <br /> ISSued By CAG CRUM,GERRY <br /> Issued Department vw PUBLIC WORKS <br /> Date Issued ��ze�2oo� <br /> Fund qo� Account s Program �io Funclion >>y Activity s�a <br /> Program <br /> Ti:!e TAP 81NCH 6003 23RD AVE W 710779673 <br /> WOfk OfdCE NO ZOO�OL6H ProjOCI Activity Type CORRECTIVE MAINTENANCE S�BIUS PR <br /> Date 3i2anoo� Time oe:ii Original WO zoo�oze� Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Addruss Street <br /> Apartment No City <br /> Slale Zip <br /> Subdivision Change Map Y/N <br /> Phone No f I � Ext <br /> Second Phone 1 ) - Ext <br /> E-Mail Pu, �ss <br /> Problem Information <br /> Address 6003 Streel p3RD DR 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 Requesied <br /> Agency Reiated Request <br /> Initiated From <br /> Ulility Locate (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 Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments BILL JOB(#2) <br /> Action Taken <br />