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Work Activity Vl/ork Order <br />�,,���, � <br />��zci�ooe, i��:oa <br />Issued By WMW WARD, MICHAEL W. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued �nsizoos <br />Fund ao� Account 5 Program »o Function �iy Activily 6�s <br />Program <br />TifIE REPAIR 2706 17TH ST 710119G75 <br />Work Order No 20061251 PfOJ2Ci Activity Type CORRECTNE MAINTENANCG SfBYuS PF <br />Late �izsi2oos Time isoi OriginalWO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 2706 <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 />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Customer ld <br />Streef <br />Ci;y <br />7ip <br />Exi <br />Ext <br />Street �7THSi <br />Zip <br />Map Book <br />Called Date <br />Priority <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Chanye Map Y/N <br />Map Reference <br />Expiration Date <br />Action Taken RENEWED FROM MAIN W/3/4" P4RTS. STILL 112" TAP <br />Completed By � � �; j ��!�(i,=�o-� °7 <br />Start Date i i Time Date Completed <br />Job Cost Information(Y/N) Follow Up? <br />Problem Details <br />NEXT TO CURQ STOP FOR 1701 FULTON. INSTALL SETTER WHILE IT <br />Date Requested <br />Related Request <br />Estimated Hours <br />Approved B <br />� � �'� �' <br />Permit No <br />Time <br />