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Work Activity Work Order <br />15Sued 13y AGA AHLES, GRFGORY A. <br />Itisued DC�)efhnCn� PW PUBLIC YJORKS <br />IL�tc Issued izunooa <br />I und qa7 Accounl 5 Pregram 7to Function t2J <br />I'rugram <br />i ille REPNH bEf 15 5 2ND AVE 710123673 <br />N'ork Ordcr No 2�081096 Pro�ecl Activity Typc s��-�:�ir,t_ i+i nni r;i <br />StaWs �z�.a-zooe Time iz�ot Oric�inal WO f3dling <br />Customer Information <br />CuSlOnlCE Nen1B DESROSIER, JERRY <br />AddfC55 SB15 SI�CCI S 2ND AV[ <br />AparL�ient No ���Y <br />Sfe1C ZI� 9820] <br />Subdivision <br />Phone No 1 a25 1�sa-nss Ezt <br />Second Phone ( 1 - f_xt <br />[-Mail Address <br />Problem In(armation <br />Addiess 5815 Strect S2NDAVE <br />From Cross Slrcut <br />To Cross Street <br />Cily <br />Subdivisiun Map Book <br />Prablem DRA/N DRAIlJAGE <br />Sub Prob�em OTHER OTHER <br />Requested By iisR r+orFA1�N, STEV[N R <br />A�ency <br />Initialed From ruouc ruuur. <br />Ultlity Locate (USA) No 03909'+8 Called Dale <br />Assignment Information <br />DCpi PN' PUl3LIC 6NORKS <br />C�C�v SCONST SEWERCON5TI7UCTION(AHLES) <br />CO111f8ClOf <br />Assi�ned To sR sieRttn, rtn�,�oN <br />Assigned By AGA AHLES, GR[C10RY !. <br />Assi�ned Date To �e Comp Date <br />Scheduled Da�e Scheduled Time <br />Route Roule Sequence <br />Comments <br />Cuslomer ld <br />Change A1ap YtN <br />Zip soms <br />At.ip Raferonce <br />Expiration Datc <br />i'�dioiry cn <br />� <br />'�I.:Iu� CL <br />Date Ri�qu�::,ic�� iu zanoor <br />Relatr,d P,�.�qw��;! uno5tlse7 <br />Priori�y Estimaled I-iours <br />AC�1011 T0kCi1 RHPLACED UA� �RAIN PIPG WITII 12" PVC PIPE_ 6�CK FILL WITH GRAV[L. <br />Rr,eommended Aclion ie�i>;.ue oitniN uN[ <br />l�ppioved By SR SiEftRA, RAMON Job Cosl In(armation(1'RJ) <br />Start Date i i Timc Date Completed �znvzooe "''�"�'� N'� <br />Completed Ciy Time Follow Up? <br />