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� <br /> Work Activity Work Order � ' <br /> ci�r..00:� ;:�, <br /> ISSLIBd By WMW WARD,MICHAEL W. <br /> Issued Department <br /> Date Issued 3�z5�zoo5 <br /> Fund qpi Fund 5 Progrem »o Panciion itg Activiry eea <br /> Program Function Activity <br /> TIIIB SO 1 INCH 2620 10TH 5T#A88 710119664 <br /> Work Order No 20050343 PfOJBCI (\CfIVIfY �YPZ CORRECTIVE MRINTENANCE $f81U5 CL <br /> Date 3izsizoos Time: Original WO >>55s Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> Slate Zip <br /> Subdivision Changa Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-N1ail Address <br /> Problem Information <br /> Address Sireet <br /> From Cross Streel <br /> To Cross Street <br /> City �i� <br /> Subdivision Map Book Pnap Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Ulility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned T. <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Ro�le Seq�ence <br /> Comments Sa��sss <br /> NEW SERVICE NEEGS IDp <br /> Action Taken 7'SOUTH AND 29'WEST OF NORTHWEST CORNER. <br /> Completed By VyDL WEAVER,DEAN L. JOb COSt InfO�rTl2tion(YlN) <br /> Start Date � i Time Date Completed s�s�zoo5 Time <br /> Approved By Fallow Up? Permit No <br /> ZI_ <br /> /S <br />