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�� - ,v� �ly� <br /> Work Activity Work Order � <br /> , . . . ;: ,. <br /> ISsued �y CAG CRUM,GERRY <br /> Issued Department Pw PUBLIC WORKS <br /> Dale Issued uts�soo� <br /> Fund �o� Account 5 Program »o Function ��9 Fctivity e�� <br /> Program <br /> TIIIB INSTALL HVORAN7 1000 100TH ST SE 710118677 <br /> WOfk OfdB� NO �0O7O3ZB PfOJBCI Activlty Type CORRECTIVE MAINTENANCE S�elUS PP <br /> Da�e a�is,aoor Ti�ne �302 Original WO zooro3za Billing <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Addrr.ss Slreet <br /> Apartmenl No City <br /> State Zip <br /> Subdivision Chanc�e Map Y!N <br /> Phone No I i - Ext <br /> S�cond Phone 1 I - Ext <br /> E-Mail Address <br /> Problem Iniormatlon <br /> Aeldress �ppp Slree� �OOTH ST SE <br /> From Cross Slreet <br /> To Cross Street <br /> City Zlp <br /> Suhdrvision Map Book Map Referenr,e <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Aqency Related Request <br /> Intliated From <br /> Ut�hty Locate�USA) No Called Date Expiralion Date <br /> Assignment Inlormation <br /> Dept pnonty Eshmated Hours <br /> Crew <br /> Con�raclnr <br /> nsz��i�,�d To <br /> F�ssi�ned fiy <br /> Assipned D��te To Be Coinp Date <br /> Scheduled Oale Sr.heduled Time <br /> Route Roulo Sequence <br /> Comments BILL JOB p9 <br /> llchan Tnken <br /> ��O <br />