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� <br /> Work Activity Work Order P'�A ` <br /> '/'3i2009 9: 10 <br /> ISSUCdBy AGA AHLES,GREGORYA. <br /> Issued Department rw PUB�IC WORKS <br /> Date Issued snnooe <br /> Pund qo� Account 5 Program �to Funclion to9 Aclivily s7s <br /> Program <br /> TiIIC REPAIR 30U2 EVERETT AV[710109675 <br /> WOfk OfdCE NO 20080362 PfOjCCf 00000082 Activity Type SERVICE REOUEST S�B�uS CL <br /> Dale 5n/zooa Time os:3o Original WO �������9 <br /> Cuslomer Information <br /> Cuslomer Name SLIMAK, Customer ld <br /> AddfeSS �002 S[fe2t EVERETT AV[ <br /> Apartment No Cily <br /> State Zip eezot <br /> Subdivision Change A9ap Y/N <br /> Phone No l azs 1 aoa-0o�a Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem I�formation <br /> Address 3002 Street EVERETT AVE <br /> From Cross Strcet <br /> To Cross Street <br /> Ciry Zip eezo� <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SF.WER <br /> Requested By RRM ROIFE,RO�ERT At. DHlO RCqUBSlOd aizsizaoa <br /> Agency Related Request 000�oars <br /> Initiated From PUBLIC PU�LIC <br /> Uliliry Locale (USA) No Called Dale Expiralion Date <br /> Assignment Information <br /> L`apt PW PUUUCwoaKs Priority Eslimated Hours <br /> CfCW SCONST SEWER CONSTRUCTION�AHLES) <br /> Conlractor <br /> Assigned To SR SIERRA, RAA10N <br /> ASSigfled By A�A AHLES,GREGCRY A. <br /> Assigned Date 412612008 To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Roufe Raute Sequence <br /> Comments <br /> Action Take� REPlACEO 6AD PIPE AND INSTALL CLEAN OUT.PACK FILLED WITH GRAVEL. <br /> Compieted By SR SIERRA,RAAfON Approved By <br /> Start Date � � Time Dale Completed eizsizaoa Time <br /> Job Cosl Informalion(YIN) Follow Up? Permit No <br /> Problem Details <br /> 428 GO. TOhI SAID CALL OUT AGA. HE CALLED OUT 2 TO HELP W/ <br />