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Issued By cn� <br />Issued Department Pw <br />Date Issued sia�zoos <br />Fund qp� <br />Program <br />3 <br />Work Activity Work �Order p�9e 1 <br />iii_eizoos io:iz <br />CRUA7, GERRY � <br />PUBLIC WORKS <br />Account s Program ��o Function >>s Ac�iviry ssa <br />TIIIL SO .751NCH 9011 7TH PL W#LCT2 <br />Work Order No 200505G4 PfOjBCI Activity Type CORRECTIVE MAWTENANCE StetUS CL <br />Date srnizoos Timeis:ts OriginalV�rJ zoo5?sss Billing <br />Customer Information <br />Customer Name <br />Address yo�� <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Prublem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Conlractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date . <br />Route <br />Comments <br />Action Taken 3 FT R OF R+ y5 FT OUT <br />Straet �rH r� w <br />City <br />Zip <br />Exl <br />Ext <br />Street <br />Map Book <br />Called Dale <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />�ip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimaled Hours <br />Completed By KT� KE�s�, rHOMas d. Job Cost Information(YIN) <br />Start Date i i Time Date Completed »�qizoos <br />__ . <br />Approved B -- _ - -- - <br />Y Follow Up? Permit No <br />Problem Details <br />� <br />/4 <br />