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� <br /> J +�^� �� ��������� <br /> Work Activity Wr�rk Order pa9P 1 <br /> —----- ---------- ——----- <br /> a/is/2ons io:3a <br /> ISSUOd BY WMW WARD,MICHAEL W. � � <br /> Issued Department <br /> Cate Issued 3121I2005 <br /> Fund 40� Account Type s Program�to Functicn »y Activity e�s <br /> Job Cost No - _ <br /> Tllle KILL 11607 79TH AVE SE 710119675 <br /> Work Order No Z�050294 PfOJOC� ACIIVIIy TyPB CORRECTIVE MAINTENANCE SIe�US CL <br /> Date 3ntnoos Time: Original WO Date Billing <br /> -- -- -___ _ _ _ . _- <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No 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 �qgp� Street 19THAVESE <br /> From Cross Street <br /> To Cross Street <br /> City 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 Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale __ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments BUILDING DEMOLISHED.KILL BEFORE 6FT OF FILL COVERS IT UP <br /> FOR 527 WIDENING. <br /> Action Taken KILLED AT MAIN.ORAWING ATTACHED. <br /> Completed By Kr� Job Cost Informalion(YIN) <br /> — -- -- -- --- - <br /> Start Date � i _ Time _ Date Completed 3�zs�zoos Time <br /> Approved By----- -- ---- Follow Up? __ Permit N ---- <br /> ��CO�� <br /> Problem Details <br /> MAY 16 p005 <br />