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Work Activity Work �rder <br />ISSUCd By WMW WARO, MICHAEL W. <br />Issued Department pw PUBLIC WORKS <br />Date Issued s/2a/2oo� <br />Fwid aot Accounl , Program »o Function �ia Adivily 675 <br />Program <br />Tille KILL 7620 20TH ST SE 710118675 <br />Work Order No 20070431 Project �cliviry Type coarzecnve r.�nwrer�niace Status Pa <br />Da�e ei2vzoo� Time ttao Original WO f3illing <br />Customer Information <br />Customer Name <br />Address <br />Apariment No <br />State <br />Subaivision <br />Phone No ( ) • <br />Second Phone ( 1 - <br />E-Mail /lddress <br />Problem Information <br />Slreel <br />City <br />Zip <br />Ext <br />Ext <br />Address 78P0 Stmet ZpTN ST SE <br />From Cross Street <br />To Cross Street <br />aiy <br />Subdivision <br />Problem <br />Sub Problem <br />Requesled Oy <br />Agency <br />Inilialed From <br />Utiiity Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Conlractor <br />Assigned To � � G <br />Assign�d By <br />Assigned Date <br />Scheduled Date <br />Roule <br />Comments <br />Action Taken ��' I ` �=� � � <br />1 <br />n� c�;�� �,:�1����. to <br />Map Book <br />Called Dale <br />Customer id <br />Change Map Y/N <br />z�� <br />Map Reference <br />Dale Requested <br />+�elaled Requesl <br />Expiration Date <br />Priority <br />To Be Comp Date �� �- - U� <br />Scheduled Time <br />Roule Sequence <br />m � ;,,, _ �" � �P� � �: <br />�"YlC:�41 . . 1 t'�G��IG Gui+� <br />Estimated Hours <br />S TA �,s 9 �- �. �t <br />.� h___ �_� ✓._�. . <br />