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o�. <br /> Work Activity Work Order � � �� ' <br /> n;;;�,� . . :�,- <br /> ISSUCd By AGA AHLES,GREGORY A. <br /> Issued Department pw PUBUC WORY.S <br /> Datelssued vz�nooe <br /> Fund aot Accounl s Program »� Function �Z� Activity 6�t <br /> Program <br /> TitIC REPLACE 6228 MELROSE AVE 770123677 <br /> WOfk�fdBf NO 2��6�2�8 P�OJCCI Activity Type CORRECTIV[fdAINTENANCE Ddlv' CL <br /> Time ?�zarzoos OrigiroAltMO Billing Slatus <br /> Customer Information <br /> Customer Name Customer ld <br /> AddfC55 6228 $f�CCI MELROSE AVE <br /> Apart�nent No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - [xt <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Probiem Iniormation <br /> Addre:>s 6pp8 Streel MELROSE AVE <br /> From (:ross Street <br /> To Cruss Streel <br /> Cily Zip <br /> Subdivision Map Book Map Reference <br /> Problem DRAIN ORAINAGE <br /> Sub Problem R8L RING AND LIDS <br /> Reyuested By Datr. Requested <br /> Agency Related Requesf <br /> Initialed From <br /> Utility I.ocate (USA) No Cailed Date Expiralion Date <br /> Assignrnent Information <br /> pept PW PuoLIC WORKS Priority Estimaled Hours <br /> CfCw SCONST SEWER CONSTRUCTION�AHLES) <br /> Contrector <br /> Assigned To PH'R PUGSLEV,WILLIAM 12. <br /> Assiryned By AGA AHLES,GREGORV� <br /> Assiyned Date To Be Comp Date <br /> Schr,duled Date Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED RINCa AND LID <br /> Slari DBIC pWR �'UGSLEY,WILLIAM R. Time <br /> Job Cosl Informatim(Y/N) Time Approved By 3nnooe Permit No <br /> Completed By Date Completed Follow Up? <br /> Problem Details <br />