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`����p`�s <br /> �� �� <br /> Work Activity Work Order r"9" 1 - <br /> ,�7e�2o�s is:oa <br /> Issued By oBs o�Hava,aRno s. <br /> Issued DepartmentPw PUBLICWORKS <br /> Dale Issued sntizots <br /> Fund eot Accaunt s Progrem �to Functlon �s� Actwity s�a <br /> Program <br /> Tdle ��-PAIR 1000 OLK SMI7M ISLAND RD 71011J67J <br /> Work Order No 2��5��2� Project Activily Type SERVICE REOUEST Status c� <br /> Status snanois Time iaae OriginalWO Billi� __ _ _ _ __ _ <br /> Cuslomcr Iniormatian <br /> Custamer Name OFFIC[R HAKER SNOPAC Customer ld <br /> �ddress Slreel sMir��is�nNo rtp <br /> �partment No Cily <br /> Slate Z�P <br /> Subdivrsion Changc Map YIN <br /> Phone No I ass 1 764 9010 Fxl <br /> SecondPhone 1 ) - Ext — ---- --- - <br /> E-Mail Address <br /> __- -- <br /> Problem Infortnatl�n <br /> Address Slre_et <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map Book Map Relerence <br /> Problem ORAIN DRAINA�E <br /> Sub Probiem SINKHL SINK HOLE <br /> Requesled By Nsc IIAR7lF.V,SAMUEL C Date Requested snv�ats <br /> Agency Related Requesl oouo�t6 <br /> Initialed From oco OTHGR GTV OF.PAItIM[NTS <br /> Utility Locate(USA)No Called Date [xpiretion Dale <br /> Arslgnment Infarmallon <br /> Depl ��W PUALIC WORHS Priorily [slimated Ilours <br /> CfeW SCONST SEW[FCONSIRUCTION(OLHAVA) <br /> Contractor <br /> Asslgned To LOM L[STER,ORIFN M <br /> �ssigned Dy oes ou�nvn,oruo s <br /> Asslgned Dale l o Bc Comp Dalc <br /> Scheduled Date _.___ Sr.heduled Time _ _ <br /> Houte Route Sequencc <br /> Comments <br /> Action Taken REVLACED 40'OF J6"CMP WITH 10'OF ADS. <br /> Rocommended Aclion pCP�IR CULVERT <br /> Approved By Leht LESTER,URI4N M Job Cost Inlormation(YIN) <br /> Start Date i � Time. _ Uate Completed 5nvzo�5 _ Permil No <br /> — --. — <br /> Compleled By Time Pollow Up� _ <br />