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� <br /> Work Activity Work Order `�'"'" � <br /> �� . . _ <br /> I55UCd By AGA AHLES,GREGORY A. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued �on2noo9 <br /> Fund qo� Account 5 Program »o Function �05 Activiry s�s <br /> Program <br /> TiIIC REPLACE 3634 EVERETT AVE 710109675 <br /> wO�k OfdCE NO LOO9ZJ4H PfOJCCI Aclivity Type CORRECTIVE MAWTENANCE SfelUS CL <br /> Stalus toizzi2oos Time t3:m Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Add�CSS 7634 SI�CCI EVERETTAVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Cliange Map YIN <br /> Phone No ( � - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3634 Street EVERETT AVE <br /> From Cross Sireel <br /> To Cross Slreet <br /> Cily Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Initialed From <br /> Uliliry Locale (USA) No �zs3e7o Called Date Expirelion Date <br /> Assignment Information <br /> Depl P�'�' �'uouc woaks Priorily Es�imated Hours <br /> CfCW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> A55i�nCd TO OBS OLHAVA,BRAD S. <br /> ASSigned By A�A AHLES,GREGORY A. <br /> Assigned Date To Be Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Routc Roule Sequence <br /> Comments <br /> Action'faken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE.CLEAN OUT AT PROPERTY LINE. <br /> Recommended Action Rei>�nce siDe sEwett <br /> Approved [3y oss o�Hnvn,t�rtnD 5. Job Cost Iniormalion(YIiV) <br /> Start Date � � Time Date Completed �v2anoo9 Permit No <br /> Completed By Time Follow Up? <br />