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, �����x-�`. <br /> i� <br /> � � , ;' � � � ��,�y�p� <br /> �-.�>-�=� �--- <br /> Work Activity Work Order ���1 ��� <br /> -a�� - <br /> - �,��.- :,: <br /> ISSUed By CAG CRUM,GERkY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued anv2oos <br /> Fund qo� Account 5 Program ��p Function »y Aclivity 6�3 <br /> Program , <br /> Titl@ CAP EXISTING MAIN 1277.8 19TH AVc SE 710719673 <br /> Work Order No 20080351 PfOJBCt Activity Type CORRECTIVE MAINTENANC[ SfBIUS CL <br /> Date aizv2ooe Time o9:a� Original WO 2ooso35o Billing <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Straet <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Exl <br /> Second Phone l ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1Y728 Street �gTHAVESE <br /> From Cross Slreet <br /> To Cross Street <br /> Cily Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> Utility Locate (USA) No Called Dale Expiretion Date <br /> Assignment Information <br /> Dept Priority Estimateci Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Ge Comp Uate R�t�(���5 <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence OCT 1 5 2000 <br /> Commenis BILLJOB#2 <br /> Action Taken POURED DEADMAN INSTEAD OF THRUST BLOCKS. , _. .. <br /> Completed By WIdW N�ARD,MICHAEL W. AppfOVBd By I <br /> Start Date i � Time Date Completed en5�2ooe Time I <br /> Job Cost Information(Y/N) Folluw Up? Permit No <br /> Problem Details <br /> °�(� ?OSTING� � l2- �� 1� � <br />