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Work Activity Work Order ��°��° ' <br /> �, �,,�:�o�� ��, :�z <br /> ISSUEd By AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORKS <br /> Datelssued ivanooa <br /> Fur�d 40� Account s Program �to Function �os Activity e�s <br /> Program <br /> TIfIE R[PI ACE 7227 LOMBARD AVE 710109675 <br /> WO(k Ofd@f NO ZQ�B�O�z PfOfeCl ACIIVIIy Typ2 CORRECTIVE MAINTENANCE SfBtUS PR <br /> Status ive,pooe Time ia:s� Original WO Billing <br /> Customer Infortnation <br /> Customer Naine Customer ld <br /> AddfESS �2Z7 SffCBf LOMBARD AVE <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �yp� Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Bool: Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated f-'rom <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> _ Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> C�eW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To SR SIERRA,RAMON <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> � Route Route Sequence <br /> � Comments ((� �/ <br /> � Action Taken �-� G''�` L � S2 �'�S'�c.SJ� `/' �'S �`� „`^ / �. <br /> II �� ,�,,., � , ,� � �a � �. � � � w*���, � � �-�' <br /> f <br />