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� <br /> Work Activity Work Order � <br /> ISSUCd f3y AGA AHLES,GREGORY A. <br /> Iss�ed Ueoartmer f Pw PUBLIC WORKS <br /> Date Issued aneizoae <br /> Fund ao� Account s Program »o Funclion 1G9 Activity 675 <br /> Proc�ram <br /> Tille REPLACE 1312 26TH ST 710709G75 <br /> WOfk OfdCE NO 2��9�4�z PfOJeCI Activity Type CORRECTIVE h1AWTFNANCE S��luS Cl. <br /> Status ai�sizoos Time oo:z� Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address ts�2 SIfCCI 2GTN ST <br /> Aparlment No Cily <br /> Slale Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Secand Phone l � - Ext <br /> E-Mail Address <br /> Problem Information <br /> Addr�ss �3�p Street p6THST <br /> From Cross Street <br /> To Cross Streel <br /> Ciry Z�P <br /> Subdivis�on Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requesled By Date Requested <br /> Agency Relaled Request <br /> Initialed From <br /> Ulility Locale (USA) No ��74457 Called Dale Expiralion Date <br /> Assignment Information <br /> Dept rw f'U[3uC WortKs Priority Estimaled Hours <br /> CleW SCONST SEWER CONSTRUCTIDN(AHLES) <br /> COf1lf8ClOf 'I <br /> Assigned To �JM DENNIS,JAMES 61 <br /> ASSI(�f1Cd 13Y A�n AfiL[S,GREGORI'A. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONNECTED TO CAST UNOER FOUNDATION. MAIN B"CLAY.NEED CLAMP HOLE COVER. PA1 CH <br /> SIZE CONCRETEIASPHAT 13X15X4. <br /> RCCOfTlfn0fldCd AC�IOfI REPI.ACE SIUE S[WER FROM PAAIN TO P1L <br /> Approved E3y DJM DENNIS,JAMES na. Job Cost Information(Y/N) <br /> Slart Dale i i Time Date Completed sns�zooe Permit No <br /> Completed Dy Time Follow Up? <br />