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� . 1. <br /> Work Activity Work Ordsr Page � <br /> iz/is/zoos �:a9 <br /> ISSUed BY 4GA AHLES,GREGORY A. <br /> Issued Departmentrw PUBLIC WORKS <br /> Date Issued 1 217 912 00 6 <br /> Fund ao� Accounl s Program »o Function �os Activity s�s <br /> Program <br /> Tille REPLACE 2210 WEifdORE AVE 710109G75 <br /> Work Order No 2��6�655 PfOJ�CI Acliviry Type CORRECTIVE M/1WTENANCE Sf8lU5 PR <br /> Date unsnooe Time o�as Origina�WO Billing <br /> Customer Information <br /> Customer Name Customer ;d <br /> Address 2210 $lfCCl WETMORE AVE <br /> Aparimenl No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No l 1 - Ex1 <br /> Second Phone l 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address yy�p Slreet yyETMORE AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By Dala Requested <br /> Agency Related Request <br /> Ini�iated From <br /> Utility Locate (USA) No 6477327 Called Dale Expiration Dale <br /> Assignment Informatian <br /> Dept Pw �uouc wottKs Priorily Estimaled Hours <br /> Cf@W SCONST SEWERCONSiRUCT10N(AHLES) <br /> Contractor <br /> Assigned To SR SIERftA,RAMON <br /> Assigned By AGA l�HLES,GREGCRY A. <br /> Assigned Date To Be Comp Date <br /> Scheduled Gate Scheduled Time <br /> Roule Route Sequence <br /> Comments /� • <br /> Aclion Taken {�l'e � ��-�c= S L "� 'e- CQ`9-'''Q v�' � ✓�`' �'1n' �N"a ` ✓`� <br /> �J �/L CJ..J l \ � �/O . 41 � �a L� - - -- - —� - <br />