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Work Activity Work Order <br />li(IG � <br />0/3/�.�U'..�� ..,:��1 <br />Issued By CAG CRUM,GERRY <br />Issued Department Pw PUBLIC WORKS <br />Date Issued sie�zoo� <br />Fund qoi Account s Program ��o Function »y Activity s�a <br />Program <br />TiqC TAP 8 INCH 9821 27TH AVG SE ?10119673 <br />WOfk OfdBf NO ?00�0490 PfOJBCf Activity Type CORRECTIVE MAINTENAWCE Sl`afllS PR <br />Date sieizoo� Time i�:ze Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No l 1 <br />Second Phone ( 1 <br />E-Mail Address <br />Problem Information <br />Address ggZ� <br />From Cross Slreet <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Indialed From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Dale <br />Route <br />Comments <br />Action Taken <br />Streel <br />City <br />Zip <br />Fxt <br />Ext <br />Streel Z7TH A VE SE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Cuslomer ld <br />Char�ge Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Requesi <br />Expiration Date <br />Priority Estimaled Hours <br />