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N� MATERIALS <br /> Work Activity Work Order �a�e 1 <br /> iz/�e/zoii e:s� <br /> ISSU2dBY AGA AHLES,GREGORYA. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �narzo�� <br /> Fund aot Account s Program »o Function �oe Activity a�a <br /> Program <br /> TitIE REPAIR 4961 VESPER DR 710109674 <br /> Work Order No 20111029 Project Activity Type SERVICE RE�UEST Status c� <br /> Status �nano>> Time tz,as _ Original WO _ _ _ _ Billing __ _ _ <br /> Customer Information <br /> Customer Name BIlIGHTWELL,81LLY Customer ld <br /> Address Street <br /> Apart,nent No City <br /> Stale Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) • Ext <br /> — -- - - - <br /> E-Mail Address __-_ _ <br /> Problem Information <br /> Address qgg� Street VESPER DR <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem MAIN MAINS <br /> Fequested By GMA1 GOGAL,MARJGRIE A D812 R8ql1B5IBd �nno�i <br /> Agency Related Req�est 000sseaa <br /> Ir�itiated From OTHER OTHER <br /> Utility Locate(USA) No tt�a�o7a Calle� Dale Expiration Date <br /> Assignment Information <br /> Dept PW PU6LIC WORKS Priority Estimated Hours <br /> CfBW SCONST SEWER(:ONSTRUCTION(AHLES) <br /> COII[fBCIOf <br /> Assigned To �BS OLHAVA,BROD S <br /> ASS19f1Ed By AGA AHLES.GREGORY� <br /> Assigned Date To Be Comp Date <br /> Scheduled Dale _ Sc;�eduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken EXCAVATED SINK HOLES.APPEARS TO BE COMPACTION PROBLEM. <br /> Recommended Action EXCAVATE AREA OF SINK HOLES AND REPAIR PROBLEM <br /> Approved By oes o�HAvn,aw+o s Job Cost Information(Y/N) <br /> -- - - -- —_ <br /> Start Date i � Time _ Date Completed tvzaizott __ Permit No _ <br /> Compteted By Time _ Follow Up? __ __ _ _ <br /> �3 <br />