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Issued By cnc <br />Issued DepartmentPw <br />Date Issued �onanaos <br />Fund ao� <br />Program <br />Work Activity Work Orde� <br />CRUM,GERRY <br />PUBLIC WORKS <br />� <br />:,�<� i <br />:,�;;>nr.c a:aa <br />Account s Program �ia Funclion t�y Activity sse <br />TIflB SO .75INCH 7822 BEVERLY LN (B) #LOT 2 710119664 <br />V'/Ofk Ofdef NO ZOOSO96B PfOjeC� ACtivily Type CORRECTIVE MAINTENANCE StatuS CL <br />Date ton3noo5 Timeio.sa Uriginal WO i�e2a Billing <br />Customer Informatlon <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( I <br />Second Phone � 1 <br />E-Mail Address <br />Problam Information <br />Address �gyp <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 />Utilily Locate (USA) No <br />Assfgnment Information <br />Dept <br />Crew <br />Gontractor <br />Assic�nEd To <br />Assigned By <br />Street <br />Cily <br />Zip <br />Ext <br />Ext <br />Street BEVERLYLN <br />Map Book <br />Called Date <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Assigned Dale To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Ro te Seauence . <br />Comments INVENTORY MATERIAL IN THE AMOUNT OF 5:57.25, WAS <br />JOURNALIZED IN 20Q5 <br />�..��— — <br />Action Taken FROM EXISTING 7B22: 22' RIGHT OF RIGHT AND 24' OUT. <br />Compleled By w�� WEAVER, DEAN L. JOb COSI IflfOff118110t1(YIN) <br />Start Date � Time Date Completed �yZyiyoos <br />Approved By Follow Up7 Permit No <br />Time <br />