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Work Activity Work Order <br />2age 1 <br />iz�ze�zoii �:as <br />ISSUBd By AGA AHLES, GREGORY A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued sno�zo�� <br />Fund aot Account s Program 7�o Function �23 Activity s» <br />Program <br />Tiile ADJUST 901 RUCKER AVE 710123671 <br />WOfk OfdCE NO 20112306 PfOJOCf ACIIV�ty Type CORRECTIVE MAINTENANCE <br />Status 9imnoit Time �o,a9__ Original WO _ _ Billing_ _ _.__ _ <br />Customer Information <br />Customer Name <br />Address got St�BB� RUCKER AVE <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone f ) - Ext <br />E-Mail Address <br />Problem Information <br />Address gp� Street RUCKER AVE <br />From Cross Slreet <br />To Cross Slreet <br />City <br />Subdivision Map Book <br />Problem DRAIN DRAINAGE <br />Sub Problem CB'S ALL CB EXCEPT CLEAN <br />Requested By HMP HALE, MICHAEL P. <br />Agency <br />Initiated From <br />Utiliry Locate (USA) No Called Date <br />Assignment Iniormation <br />Dept Pw PUBLIC WORKS <br />CfBW SCONST SEWER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned Ta IJM IMHOf, JAMES M. <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Date ___ _.__ To Be Comp Dat? <br />Scheduled Date __. Scheduled Time ___ <br />Route Route Sequence <br />Comments <br />Action Taken RAISED CURB INLET TO GUTTER LEVEL <br />R@C01111118�dCd ACtI0t1 ADJUST CURB INLET TO GUTTER GRADE <br />Approved By IJM IMHOF, JAMES M. <br />Start Date � � Time __ ____ <br />Completed By- --- _.-- — —_ - <br />Customer ld <br />Change Mrip YIN <br />St8tU5 CL <br />Zip <br />Map Reference <br />Date Requested <br />Reiated Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Costlnformation(Y/N) <br />Date Completed ei2v2a�� Permit No <br />Time Foilow Up? _ _ <br />