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3 <br /> Wark �4ctivity Work C)rder ' � ' <br /> � ,,,; , �, <br /> 155uCd By CAG CRUM,GERRY <br /> Issued Deparlmenl pw PUBLIC WORI(S <br /> Datelssued vav2ooc <br /> Fund qpt Accuunl s Prograni ��o function >>g Nctivity 6�; <br /> Piogram <br /> l dIC RENEW]5 iNCH 712J L�KE H[IGHTS DR"701196'5 <br /> Vcork Order No 20060126 Project Activily Type Coaaecnve ti�nwreNqNce Datr. ci. <br /> Time �!3vzooe Oric�iinral0A1G 8illing zooc7iz� Status <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Stree': <br /> Apartmenl No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Er.t <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 21Y3 Strec� LAKE HEIGHTS OR <br /> From Cross Street <br /> To Cross Street <br /> City Zi�� <br /> Subdivision Map Fsook A�1ap Rn(�renc� <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Relaled Requesl <br /> Initiated From <br /> Utiliry Locate (USA) No Called Dale Expiration Oale <br /> Assignment Information <br /> Depl Priority Estimated Hours <br /> Crew <br /> Cantractor <br /> Assigned To <br /> Assigned [�y <br /> Assigned Date To [3e Camp Dnte <br /> Scheduled Dale Scheduled Time <br /> Roule Route Sequenr,e <br /> Comments <br /> Nctlon �;'aken <br />