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� RECORDS � <br /> OCT 0 7 2005 <br /> Work Activity Work Order �d�� ' <br /> 10/3/2005 13:50 <br /> ISSIJBd By VOMW WARD,MICHAEL W. � <br /> Issuad Departmer�t aw puBLIC woRKs <br /> Date Issued s�2onoos <br /> Fund aot Account 5 Program ��p Function �te Activity s�5 <br /> Program <br /> T�tle REPAIR 10025 10T71 AVE SE 710119675 <br /> Work Order No 240509�a PfOJBCt Activity Type CORRECTIVE MAINTEN.4NCE SfBtUS CL <br /> Date 9izoi2oos Time�3s5 Original WO Billing <br /> Customer Information <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 ( 1 • Ext — — <br /> F-Mail Address <br /> Problem In(ormation <br /> Address 10025 Street �gTH AVE SF <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Sutdivision Map Book Map Reference <br /> Problem <br /> Sub Problam <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigr.ed Date To Be Comp Date <br /> __ _ <br /> Scheduled Date Scheduled Time <br /> Raute Route Sequence <br /> Comments <br /> Action Taken FROZE LINE AND INSTALLED SETTER. <br /> Completed By Kr� .<e�so,rHomns�. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed y�Zo�2oos Time <br /> --- — - - _ <br /> Approved By Follow Up? Permit No <br /> Problem Details <br />