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3 <br /> Work Activity Work Order � � � <br /> ,�: . ��� ._. <br /> IS�Ued BY CAG CRUM,GERRY <br /> Issued Departmenl Pw PUBLIC WORKS <br /> Daie Issued �avzoos <br /> Fund ao� Account s Program »o Function �is Activity G75 <br /> Program <br /> Title RFNEW 751NCH 2125 LAKE HEIGHTS DR 710119675 <br /> Work Order No 20060128 Project Activity Type coaRecrive r.�nuareNnrace Date c� <br /> Time i vzoos Orgiim'alOhJO Billing 2oosot2t Stalus <br /> Customer Informa[ion <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> Sfate Zip <br /> Subdivision Change !.�ap Y/N <br /> Phone No 1 1 - Fxt <br /> Second Phone ! 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Z�Zg Stroet LAKE HEIGHTS OR <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requesled <br /> Agency Related Requesl <br /> Initialed From <br /> Uti!ity Locale (USA) No Called Date Expiration Data <br /> Assignment Information <br /> Depl Priarity Estimated Hours <br /> Crew <br /> CoNractor <br /> iissigned To <br /> Assigned By <br /> Assigned Date To Be Cump Date <br /> Scheduled Date Sched. �ed Time <br /> Route Route Sequencu <br /> Cornments <br /> Aclion Taken <br /> J � -- <br />