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1 <br /> z <br /> Work Activity Work Order �'a�° ' <br /> eivzoo;; io:a� � <br /> ISSUBd BY WMW WARD,MICHAEL W. �I <br /> Issued Department Pw PUBUC WORKS I <br /> Dale Issued 7nU2ooe <br /> Fund ao� Account s Program i�o Function »g Activity 675 , <br /> Program <br /> Tlfl� REPAIR @724 5TH AVE W 710119u75 � <br /> .Vork Order No Z�O6�'���s ProjCCI ACflvlly TyPe CORRECTIVE MAINTEIJANCE S[eluS CL <br /> Date min�os Time o�2� Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> Slate Zip <br /> Subdivision Chznge Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone l ) - Exl <br /> E-Mail Address <br /> Problem Inforrnation <br /> Address, gppq Street 5TH AVE W <br /> From Cross Slreet <br /> To Cross Street <br /> Ci!y Z�p <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Relaled Request <br /> Initiated From <br /> Uliliry Locale (USA) No Called Date [xpiralion Date <br /> Assignment Information <br /> Dept Priorily Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Route Raute Sequence <br /> Comm;:nts <br /> Aclion Taken <br /> - - - --- ------------------------- ---- I <br /> - -- - - - � <br /> I� <br />