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. 3 <br /> Work Activity Work Order Page � <br /> 11�10�2a�5 I1:21 <br /> . . . . . _ . .. . .._ . _ . . _ .. . . . . --- <br /> Issued By CAG CRUM,GERRY <br /> Issued Department rW pueLlc WORKs <br /> Date Issued �omnoos <br /> Fund ao� Account s Program »p Function »y Activity bsq <br /> Program <br /> TiGs 501 INCH 10025 19TH AVE SE 710119664 <br /> WOtk OfdBf NO 20051015 PfOjBCt Activity Type CORRECTIVE MAINTENANCE SfB�US CL <br /> Date toiznzoos Timeos:oa Original WO itsat Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment �o City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 100Y5 Street �9THAVtSE <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem �i <br /> Requested By Date Reque,ted <br /> Agency Related Request I <br /> Initiated From I <br /> Utiliry Locate (USA) No Called Datc Expiration Date I <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 /> Route Route Sequence <br /> Comments <br /> Action Taken -- _ _ <br /> --- -- — — _ -- -- ----- <br /> � <br />