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1IVor4c Activity Woric �rder� � <br /> ISS�Cd BY CAG CRUM,GERRY <br /> Issued Department Pw pUeuc Woahs <br /> Date Isss�ed va�noos <br /> Fund ao� Account5 Prugram »o Funr,tion �iy Aclivitf G75 <br /> Program <br /> TiUE RENEW 751NCH 2126 LAKE HEIGHTS OR 710779G?5 <br /> VJork Order No 20060129 Project Activity Type cor�wecnve nu{�Nrer+nr,cE Status Pa <br />,� Date vavzoos Timeo�:o4 Original WU zoosoiz� Billing <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Giange 64ap Y/N <br /> Phone Uo 1 ) - Lxt <br /> Second Phone ( ) - Exl <br /> E-tilail Address <br /> Problem Informatian <br /> Address Z�yg Street LAKEHEIGHTSDR <br /> From Cross Street <br /> To Cress Slreet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requesled By Dale P.equested <br /> Agency Relaled Requesl <br /> Initiated From <br /> Utility Locaie (USA) No Called Date Expiration Dale <br /> Assignment Infarmation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Centrachr <br /> Assignec To <br /> Assigne� 6y <br /> Assigred Date To Be Comp Date \ <br /> Scheduled C�'� Scheduled Time �� <br /> �`\, <br /> Route Route Sequence \� �� <br /> Comments Vi <br /> Asfton Taksn <br /> � <br />