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� <br /> Work Activity Work Order � � � ' <br /> �: <br /> IStiu�d 6y CAG CRUM,GERRY <br /> Issued Department Pw PUBUC WORKS <br /> Date Issued 1/31/2006 <br /> Fund qo� Accounl s Proyram »o Function >>g A�tivity e�s <br /> Program <br /> TiL'� RENEW 7511dCH 2178 LAKE HEIGHTS DR 710119u75 <br /> Work Order No 20060125 Project Acfivity Type CORRECTNE MAINTENANC[ Dale c� <br /> Time v3v2ooa Origiraal0AJ0 Billing 2ooaoui Slalus <br /> Customer Infarmation <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Piione No l 1 - Ext <br /> Second Phore 1 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address y;�g Streel LAKE HEIGHTS DR <br /> From Cross Streel <br /> To Cross Street <br /> Ci�y Zip <br /> Subdivision Map Book A1ap Fteference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requesled <br /> Agency Relaled Requesl <br /> Initiated �rom <br /> Ulilily Locate (USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Dep� Priorily Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned ay <br /> Assigr�ed Date To Be Comp Dale <br /> Scheduled Date Scheduled Tirne <br /> Roule Route Sequence <br /> Comments <br /> Action Tahen <br />