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Work Activity Work Order <br /> ISSUL'd By CAG CRU�d,GERRY <br /> IsSUCd Dep�flmCnl PW PUE3LIC WORKS <br /> Dale Issued snvzoo� <br /> Fund ao� Account 5 Program ��o Func;ion t» Activity 673 <br /> Program <br /> Tille T�P 61NCH 110�t 10TH STREET 710119G73 <br /> Work Order No 20070395 Projecl Activity Type coitaE=ctive r.+.v�ar[ranr�ce Stat:is ra <br /> Dale sin�zoui Time tn.a� Original WO Billing <br /> Customer Information <br /> Customer Name Cuslontn� Id <br /> Address Slreet <br /> Apartment No Cily <br /> Slate Z�P <br /> Subdivision Change Map Y/N <br /> Phone No � ) - Exl <br /> Second Phone 1 1 - Ext � <br /> E-Mail Address <br /> Problem Information <br /> ,4ddress ��pq Street �pT <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map 600k PAap Re(erence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requ>sled <br /> Agency Related Reauest <br /> Iniliated From <br /> Utility Locale (USA) No Called Dale [xpiration Date <br /> Assignment Information <br /> Depl Priority Es�imaled Hours <br /> Crew <br /> Contraclor <br /> Asaiyned To <br /> Assigned By <br /> Assigned Date lb Qe Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> COrt1rtlCfllS BILL PORT OF[VERETT WH[N FINISHED.NO DEPOSI7 hiADE <br /> n�ao�, T�ke�, <br />