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, � <br /> Work Activity Work Order page � � <br /> ------ eiieizoas 7:36 <br /> ISSUBd By AGA AHLES,6REGORY A. � <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued nTonoos <br /> Fund qp� Account s Program 710 Function �p3 Aclivity e» <br /> Program <br /> TItlB REPLACE 5007 EVERGREEN WAY 710123671 <br /> WOfk OfdB�NO 200��04 PfOfBCf Activiry Type CORRECTIVE MAINTENANCE SfetUS CL <br /> Date n2orzoos Time�a:oa Original WO Billing <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address 5001 Sf�CBt EVERGREEN WAY <br /> Apartment No City <br /> State Zip <br /> Subdivisfon Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( ) - Ext _____ <br /> E-Mail Address <br /> Problem Information CO��� <br /> Address Spp� Street EVERGREENWAy <br /> From Cross Street 200� <br /> To cross street SEP 0 7 <br /> City Zfp <br /> Subdivision Map Book �9ap Reference <br /> Problem DRAIN DRAlNAGE <br /> Sub Problem F8G FRAMEAND QRATES <br /> Requested By Date Requested <br /> Agency Related Requesl <br /> Initiated From <br /> Utility Locate(USA)No Called Date ExpiraUon Date <br /> Assignment Infortnation <br /> Dept Pw PUBUC woaKs Priority Estimated Hours <br /> CfeW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> ASSlghed TO SR SIERRA,RAMON <br /> AssignedBy AGA AHLES,GREGORYA. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Actlon TakBn REPLACED FRAME ANU GRATE <br /> Completed By SR StERRA,RqMON Job Cost Informalion(Y/N) <br /> Start Date I i Time _ Date Completed ��21M005 Time <br /> Approved By Follow Up? Permit No <br /> Problem Detaiis <br />