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, <br /> F: .. - . <br /> Work Activity Work Order �d9� 1 <br /> io/is/zoos �:oo <br /> ISSUL'd By AGA AHLES,GREGJRY A. <br /> Issued Departmentrw PUBLIf.WORKS <br /> Date Issued �onsnoos <br /> Fund qot Accounl5 Program �io Function �09 Activity s�s <br /> Program <br /> TIIIC REPI.l�CE 2209 COLOY 7107!19675 <br /> , Work Order No 2��5�9�9 PfOJeLf ACIiVIIy TypC CORRECiIVE MAINTENANCE Si8lU5 pq <br /> Dale ia�snoos Timeosss Original WO Billing <br /> Customer Intormation <br /> Customer Name Customer ld <br /> Address zzo9 Streel co�evqve <br /> Apartment No City <br /> ,!StaG� Zip <br /> � Subdivision Change Map Y/N <br /> Phone No ( ) - Exl <br /> Second Phone ( 1 • Ext — --- <br /> E-Mail Address <br /> Problem Information <br /> Address pppg Street COLBYAVE <br /> From Cross Street <br /> To Cross S�reet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> SubProblem SS SIDESEWER <br /> Requesled By Dale Requested <br /> Agency Reialed Request <br /> Initialed From <br /> Utiliry Locate(USA)No ssqss�z Called Date Expiration Date <br /> Assignment Information <br /> Dapt rw PUBLIC WORKS Priority Estimated Hours <br /> CfOW SCONST SEWERCONSTRUCTION(AHLES) <br /> ConUactor <br /> Assigned To SR SIERRA,RAMON <br /> Assigned By AGA AHL[S,GREGORY A. <br /> Assigned Date .___ To Be Comp Date <br /> Scheduled Date _____ Scheduled Time <br /> Route Roule Sequence <br /> Comments � <br /> Action Taken ------� ��I�c._+�----��__F�� __ �'�ua�✓ _ M�� �1 � N <br /> / -- <br /> ��1.�—`___r-^�v� _• l �-- `` --�/�'V" �' �/ <br /> (' �'- - ---��— c — -- -- <br />