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'L <br /> RECORDS <br /> OCT 0 7 2005 <br /> Work Activity Work Order pa9e 1 <br /> 9/20/2005 19:01 <br /> Issued By WMW WARD,MICHAEL W. ------- ------ --- <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued si2o�zoos <br /> Fund aa� Account 5 Program �to Function t�s Activity fi75 <br /> Program <br /> Titie REPAIR 10025 19TH AVE SE 710119675 <br /> WOfk O�dBf NO 2�0509�8 PfOjeC� Activity Type CORRECTIVE MAINTENANCE S►elllS PR <br /> Date 9I20/2005 TItTiB13:55 Origir.al WO Billlfl9 <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map YIN <br /> Fhone No ( > - Ext <br /> Second Phone ( ) - Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Address 10025 Street �gTH AVE SE <br /> From Cross Street <br /> To Cross Street <br /> ciry zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility 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 Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> --_ _— -- — <br /> Route Route Sequence <br /> Comments <br /> Action Taken FROZE LINE AND INSTALLED SETTER. <br /> , ... . ..- <br /> Completed By �v-rYIC'C.zGp�. Job Cost Information(Y/N) _ __ __ <br /> Start Date I � Time Date Completed q ��� Time <br /> Approved By Follow Up? Permit No <br /> Problem Details <br />� — <br />