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Work Activity 1�Jor�c Order ' <br /> ISSUCd By CAG CtZUM,GERRJ <br /> Issued Department pw PUBLIC WORKS <br /> Date Issued v3tnoas <br /> Fund aof Account s Proc�ram �io Function >>9 Ar(ivity �;�5 <br /> Program <br /> TItIC R[NEVJ 751NCH 2112 LAKE HEI6HTS DR 710719fi75 <br /> WO�k OfdCE NO Z�060�24 PfOJBCI AL'6:�i�y Type CORRECTIVE LIAINTEN�NCL S�elus pR <br /> Date 1131/2006 limeoi:on Original WO "<0050121 Blllifi(� <br /> Customer Informatic�n <br /> Cuslomer Name Customer ld <br /> Address Slreel <br /> Apa•irvenl No City <br /> Stale Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Exl <br /> Second Phene l 1 • Ext <br /> E-Mail Addre�•s <br /> Protlem Information <br /> Address y»y Sireel LAKE HEIGHTS DR <br /> From Cross Street <br /> To Cross Slreet <br /> Ciry Zip <br /> Subdivision Map Book Map Re(erence <br /> Problem <br /> S�b Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated Fro:n <br /> Utilily Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> ,assigned By � <br /> Assigned Date To Be Comp Daie <br /> Scheduied Date Scheduled Time � <br /> Route Route Sequence � <br /> Comments <br /> Action T�iken <br /> � <br />