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Issue[i 6y CAG <br />Issued Deparlment rw <br />Date 'ssued u�snoos <br />Fund 4ot <br />Pwnam <br />Work Activity Work (3rde�r <br />CRUM,GERRY <br />PUBLIC W�1RNS <br />� <br />Account 5 f'rogram �to Function »y Activily ssa <br />T1�IB S0 .751NCH 2209 124TH ST Si pLOT 1 710719664 <br />Wor< Order No 20051131 Projecl Activily Type Coar�Ecnv[ rnniNreNnNce Stalus CL <br />DaG� iv�u2oos Time�aaz Original WO i�esz Billin� <br />Cu;tomor Informatlon <br />Customer Name <br />��ddress Street <br />apartmr;nt No Cily <br />State Z'P <br />Subdivision <br />Phone No � � - E+�� <br />Second Phone � � • Exl <br />E-Mail Address <br />f'roblom Information <br />Address yppg Sirect � y4TH ST SE <br />From Cross Streel <br />To Cross Street <br />City <br />Subdiwsion Map Book <br />Problem <br />Sub Problem <br />Requesled Dy <br />Agency <br />Ini6aled From <br />Utiliry Locatc (USA) No Called Uato <br />Assignmant Information <br />Depl <br />Crew <br />Contractor <br />Assiyned To <br />A=signed By <br />As�igned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken FROM 2205: 4F' RIGHT OF RIGHT AND J4' OU7. <br />�;ompleted By KTJ <br />,tart Date � <br />�pproved By <br />Problem Detalls <br />KFLSO, THGh1A5 J. <br />i Time <br />Customer ld <br />Change Map Y/N <br />7_ip <br />Map Re(erenca <br />Dale Requested <br />Related Request <br />Ezpira:ion Dale <br />Priority EstimateC Hours <br />Job Cost Informalion(YIN) <br />Dat� Completed y�512006 <br />Follow Up? Permit No <br />Time <br />