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1 /` <br /> Work Activity Work C�rder <br /> IstiuCdE3y AGA AHLES,GREGORYA. <br /> Issued Department aw PbBLIC WORKS <br /> Oate Issued siLzoo9 <br /> Fund aat Accounl s Program �io Function tos Activity b�s <br /> Program <br /> Title r�E�'�nce s�s�o or�onoWav »o�o5e�s <br /> WorY. Order No 20090288 Project Act�:ity Type coaaecrive r,uu�i[ru,tdr,� „�;,i��-, r_i. <br /> Fi�aWs . . . 1�.ni�, ', _ <innin:.�I l'10 L'illir r7 <br /> Customer Mformalion <br /> Cuslomer Name C�,sto�nnr I�t <br /> Address ,�io s,��:�:t or<oanwnv <br /> Aparlment No ��iS' <br /> StatC %'�i% <br /> Subdivision CI-„m��e 1,1a;; 1',N <br /> Phone No 1 1 • Ext <br /> Second Phone ( 1 - Ext <br /> E-R'aiI Address <br /> Problem information <br /> �ddress 56f0 Slreet BROADWAV <br /> From Cross Street <br /> To Cross Streel <br /> City 7_ip <br /> Subdivision Map E3ook Map Re(erence <br /> Nroblem SEWER SEWER <br /> Sub Prablent SS SIDE SEWER <br /> Requested By Date Requested <br /> Agency Rela(ed Request <br /> Ini!iated From <br /> Utilily Locate (USA) No 903B87G Called Date Expiration Datc <br /> Assignment Intormation <br /> p��� pW PUIiI1C WORKS Priority Eshmated Hou�s <br /> CrCw SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> A�signed To DJM D[NNIS,JAMES M. <br /> Assigned By AGA ANLES,GREGO"ev A. <br /> Assic�ned Dale To F3e Comp Date <br /> Scheduled Datr Scheduled Time <br /> Raute Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FROM MAIN 10 PROPERTY UNE CLr:!.1 OUT AT PROP[RTY LIN[. <br /> Recommended Ar,tion tter�ince si�e s�wei7 <br /> Apprrn�.d Dy OJM DENNiS,JAIdES M. Job Cosl Infom�.ation(Y,�N) <br /> Stri�t Dnle i r Time Dote Gompleted 7n7i2oos Permii No <br /> Crnnpl��b,d 15y� imie Follow Up? <br />