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NO MAT��rpLS <br /> Work Activity Work Order page 1 <br /> 12/28/2011 6:52 <br /> ISSUBd By AGA AHLES,GRECiORY A <br /> Issued Department Pw PU8!.IC WORKS <br /> Datelssued �2nsno�t <br /> Fund ao� Account s Program �to Function tza Activity 5�� <br /> Program <br /> Title ADJUST 6113 7ST DR"E 7101236i 1 <br /> WOfk OfdOf NO ZO'I'IZ6'IG PfOJO:f Activity Type CORRECTIVE MAMTENANCE St8tU5 CL <br /> Status t2nsnott _Time ia.00 _Original W0 --- --- — Billin9-- __ --— -_—_---_--____-- <br /> Customer Information <br /> Customer Name Customer ld <br /> Address 6113 SIfO@I iST DR SE <br /> Apartment No Cily <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext —— _ <br /> Second Phone ( 1 - Ext --- <br /> E-Mail Address __ ___ _ .__ <br /> Problem Information <br /> Address g�93 Slreet �ST DR SE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem DRAIN DRAINAGE <br /> Sub Problem F8G FRAMEAND GRATES <br /> Requested By DBMt DOOLAN,BRIAN M. D810 ReGU25IBd <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assfgnment Information <br /> Dept P`N PUBLIC WORKS Priority Estimated Hours <br /> Cf0\V SCONST SEWFR CONSiRUCTION(AHLES) <br /> Conlrector <br /> ASSigned TO I�M IMHOF,JAtdES M. <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 RAISED F&G. <br /> RCCOIllf11011d0C1 AC11011 RAISE F6G TO GROUND l.EVEL <br /> APpfOV@d By IJM IMHOF,JAMES M, JOb COS�IfifOffT18tI0f1(Y/N) _ _ <br /> Start Date i � Time _ Date Completed tv�sizo�t __ Permit No _ <br /> — ------ — <br /> Completed By __ ____ Time _ _ Follow Up? _ <br />