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Work Activity Work Order <br />ISSUBd By ---- AGA AHLES.ORE60RYA. <br />ISSued Depeitme�t PW pUBLIC WORKS <br />Datelssued ul6naos <br />Fund Iot Account s Program ��o <br />?rogram <br />TIUe REPAIR 9025 EVERGREEN WAV 710123671 <br />Work Order No 20050586 project Activity Type <br />Date s�ts�2oos Timets:5� Oriafnal W7 I <br />Customer Infortnation <br />Customer Name <br />Address Street <br />Apartment No City <br />Slate Zip <br />Subdioision <br />Phone No ( ) • Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 9025 Street �RGREEN WAY <br />Function �p� <br />Customer ld <br />� <br />Page 1 <br />7/19/2005 10:17 <br />%���y 87' <br />CORRECTIVE MAINTENANCE Slei11S CL <br />Change Map Y/N <br />From Cross Sireet <br />To Cross Street <br />Ciry zip <br />Subdivision Map Book Map Reference <br />Problem DRAiN DRAINAGE <br />Sub Problem CB'S ALL CB EXCEPT CLEAN <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />CfeW SCONST SEWER CONSTRUCTION (A4LES) <br />Contractor <br />ASSIgf18d TO AAL ARNOLD, ARTHUR L. <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comcnents <br />Actfon Taken REPAIRED CB. <br />Completed By M� ARNOLO, ARTHUR L. <br />Start Date I I Time <br />Approved By <br />Problem �etails <br />Priority <br />Date Requested <br />Related Request <br />Expiration Date <br />Estimated Hours <br />RECORDS <br />JUL 2 91Qp5 <br />Job Costlnformalian(Y/N) <br />Date Completed �oas Time <br />Follow Up? Permit No <br />