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� <br /> 1lVork Activity Work Ortier ` � <br /> ��;��_i�or�,� � <br /> ISSu�d By CAG CRUM,GERRY <br /> Issued Departmentrw PUBL!C:NORKS <br /> Datelssued vs�noo5 <br /> Fund aa� Account s Program »o Function t�9 Activi!y b�s <br /> Program <br /> TiUL ��NEW 751NCH 2102 LAKE HEIGHTS DR 710119G75 <br /> WOfk OfdCE NO 20060123 P�OJCCf Activity Type CORRECTIVE MAINTENANCE Dale CL <br /> Time v3v2ooc Origira�l0AJ0 Billing zoo50i2i StaWs <br /> Customer Information <br /> Cusfomer Name Customer ld <br /> Address Slreet <br /> Apartmenl No Cily <br /> State Zip <br /> Subdivision Changc A4ap Y/N <br /> Phone No � � - Ext <br /> Second Phone � 1 • 6xl <br /> E-Mail AAdress <br /> Problem Information <br /> Address 2102 Street LAKE HEIGHTS DR <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Referencc <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> A enc Related Request <br /> 9 Y <br /> Initiated From <br /> Utility Locate (USA) No Called Dale Expiration Date <br /> Assignment Mformation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrar,tor <br /> Assic�ned To <br /> Assigned 6y <br /> Assigned Date To Be�omp Date <br /> Scheduled Dale Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> Aclion Taken <br />