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Work Activity Work Order '°`'` ' <br /> �i:�i:oot3 �; :s: <br /> Issued By CAG CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 411 812 0 0 8 <br /> Fund qo� Account s Program ��o Function i�g Activity ��a <br /> Program <br /> Ti110 SO 1 INCH 2715 10TH ST 710119664 <br /> WOfk Ofdef NO 2�080344 PfOJBCf Activity Type CORRECTR�E tdAINTENANCE Sf2tU5 CL <br /> Date tin�izooa Time io:;a Original WO �vae Billin� <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Sireet <br /> Apartment No Cily <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ex! <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> A.ddress y��g Street �OTH ST <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested 8y Date Requested <br /> Agency Related Request <br /> Initiated Fron: <br /> Utiliry Loca,e (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriiy Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Tiine ; � � � , ����4 � <br /> Scheduled Date � � � ��_ <br /> Route Route Sequence � <br /> Comments <br /> Action Taken Mp5105G985 EAST SIDE OF DRIVEWY RF#1471391674 <br /> Completed By KTJ KEL50,THOMAS J. A�JPfOved By <br /> Start Date I I Time Dale Completed snti2oos _ Time _ <br /> -- ---- <br /> _ _ _ - - <br /> Job Cost Information(Y/N) Follow Up?__ Permit No <br /> Problem Details <br /> ��� <br />