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. . -, � <br /> Work Activity Work Order Page � <br /> 6/10/2005 9:50 <br /> ISSUBdBY -- SDD ------ STECHER,DANIELD. ------- ----�--�- <br /> Issued Department Pw PUBLIC WORNS <br /> Date Issued s�e�Zoos <br /> Fund qo� Account a Program »p Function ts� qctivi <br /> Program ly g» <br /> TItlB REPLACE 3621 26TH ST 770123671 ' <br /> NlOfk OfdB�NO Z��5�4�� Pi0j0Ct ACflVlty TypB CORRECTIVE MAINTENANCE SfB�US CL <br /> Date _ sis�zoo5 Time��:as Original WO Billin <br /> — 9 <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision <br /> Phone No ( � . Change Map Y/N <br /> Ext <br /> Second Phone ( > - Ext <br /> E-Mail Address <br /> Prchlem IMormatfon <br /> Address Street <br /> From Cross Street — <br /> l'o Cross Street <br /> City ZiP <br /> Subdivision Map Book Ma <br /> Problem P Reference <br /> Sub Problem <br /> Requested By <br /> Agency Date Requested <br /> Initiated From Related Request <br /> Utility Locate (USA)No Called Date Expiration Date <br /> Assignment Information <br /> Dept <br /> Crew Priority Estimated Hours <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Qate <br /> Scheduled Date _ ___ __ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CHAN:;ED RING AN LID <br /> COftlpl0fed By MJL2 MITCHELL,JEFFREY L. JOb COSf If1fOfR18YlOf1(Y/N) <br /> Start Date I _ i Time Date Completed ����yoos ��EC�e`� <br /> Approved By — _ Follow U ? -- 1�i i�� q_�_� --- <br /> -- -- -- -------_.- P _ Permit No <br /> Problem Details �R-� <br />