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� 3 <br /> Work Activity Work Order � ° ��� ' <br /> � ;,,;�����, : , , <br /> IsSUBd By CAG CRUM,GERRY <br /> Issued Department <br /> Datelssued 7nsnooa <br /> Fund 4ot Fund 5 Program 7�o Punciion t�e Acu�nv se4 <br /> Program Funclion Aclivily � <br /> T111C SO 7,5 MCH 775 110TH PL SE LOT 4 71017�JG64 <br /> VJOfk OfdCE NO :0031731 f�fOJCCI Activity Type CORRECTIVE h1AINTENANCE $�8fU5 CL <br /> Date �rz� zoo3 Time Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Cily <br /> State 2ip <br /> Subdrvision Chan{�e Map Y/N <br /> Phone No � � - Eat <br /> Second Phon� � � - Ezt <br /> E-Mail Address <br /> Problem Information <br /> Address 75 _S_Irect ��OTHPLSE <br /> From Cross Sirect <br /> To Cross Slreet <br /> City 2ip <br /> Subdivision �4ap Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested �y Date Requesled <br /> Agency Rel�led Request <br /> Inllialed From <br /> UIiGty Locatr. �USA) No Calle ' �3te Expi�ation Date <br /> Assig�menl Iniormatlon <br /> ��P� Pnorily Estimaled Hours <br /> Crew <br /> Contraclor <br /> Assi�ned To <br /> Assigned [3y <br /> Ass��ned Datc To �e Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Roulc Routc Sequcncc <br /> Commonts so•t�ocs <br /> NEW SERVICE NEEDS ID p <br /> Action Taken 4'RIGHI OF LEFT AND 46'OUT. <br /> Completed By �T� �AUAcr�ea.tHo�,tns,i Job Cosl Informalion�Y/N) <br /> Start Date i i Tmie Date Completed 5H2/2005 Time <br /> Approved By Fallow Up? Permit No <br /> _/(p <br />