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� <br />Work Activity Work Order <br />ISSUBd By WMW WARD, MICHAEL W. <br />Issued Depariment Pw PUBLIC WORKS <br />Date Issued 9111I2000 <br />Fund ao� Account s Program »o Function »y Activity 66a <br />�rogram <br />TIIIB SO 1 INCH 3121 BTH ST #AfsB 710119664 <br />WO�k OfdB� NO 20080793 PfOJOCI Activiry Type CORRECTIVE IdAINTE�ANCE S(eluS CL <br />StaWs snvzooa Time it:tz Original WO �z�sa Billing <br />Customcr Information <br />Cuslomer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No 1 1 <br />Second Phone ( 1 <br />E-Mail Address <br />Probiem Information <br />Address 3�p� <br />From Cross Street <br />To Cross Slreet <br />City <br />Subdivision <br />Problem <br />Sub ?roblern <br />Requested By <br />Agency <br />Inifialed From <br />Utility Locate (USA) No <br />Assignment Information <br />Depl <br />Cre.e <br />ConVaclor <br />Assi�ned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Roule <br />Comments <br />Action Taken <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street BTIi S1 <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Cha�ge Map YiN <br />Lip <br />p4ap Reference <br />Cate Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Flours <br />�/b <br />