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> � <br /> Work Activity Work Order <br /> ISSUBdBY AGA AHLES,GREGORY:�. <br /> Issued Oepartment rw PUBLIC WORKS <br /> Dale Issued 611 712 0 0 9 <br /> Fund a0t Accouni s Program �to Function �ov Aclivity e7e <br /> Program <br /> TiIIB �t[PAIR 1105 COLOY 770709674 <br /> WO�k OfdCE NO �0090�46 PfO�CCI �CGVIIY TY�7C CORRECiNE 67AIN7ENANCE S131U5 CL <br /> StaWs eim2oo� Time t232 Originai WO �illing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address ��os SifCCtCOLBYAVE <br /> Apartmenl No City <br /> State 7iP <br /> Subdivision Change Map Y/N <br /> Phone No � � • Ext <br /> Second Phone 1 1 - Exl <br /> E-Mail Address <br /> Problem Intormation <br /> Address ��ps Slreet COLBYAVE <br /> From Cross Streel <br /> To Cross Slreel <br /> City Z�P <br /> Subdivision Map Book Map Re(erence <br /> Problem SEWER SElNER <br /> Sub Problem MAIN MA/NS <br /> Requesled By Date Requesled <br /> Agency Relaled Requesl <br /> Initiated From <br /> Utility Locate(USA)No 9136711 Called Date Expiration Date <br /> Assignmenl Information <br /> Depl Pw PURLIC WOIiKS Priority Estimated Hours <br /> CfCW SCONST SEWERCOtdSTRUCTION�AHL[5) <br /> Contractor <br /> ASSIgnCd TO NCR NIETHAMER,CHARLES R. <br /> A551(�f1Cd I3Y AGA AHLES,GREGORY A. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken R[PAIRED 8'•8"CONCR[TE S[WER MAIN. <br /> Recommended Action a�r��nce nnour e'-e'or-e•MniN <br /> Approved [3y NCR t.l[THA6IER,CHARL[S R. JOb COSf IflfOff170fIOf1�YlN) <br /> Start Dale � � Time Date Completed �nvzoo9 Permit No <br /> Completed Dy Time Follow Up? <br /> Y3 <br />