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ISSUBd By AGA <br />Issued Department aW <br />Date Issued 819I2005 <br />Fund 4ot <br />Program <br />Work Activity Work Order <br />AHLES, GREGORY A. <br />PUBLIC WORKS <br />Account s Program »o <br />Function �pg <br />TIIIC REPAIR 1909 19TH ST 710109675 <br />Work Order No 20050769 Project Activity Type SERVICE REQUEST <br />Date e�sizoo.. Timeiz:az Original WO Biiling <br />__ . -..-.-- S <br />Custorcier Information <br />Customer Name STANFIELD, NANETfE <br />Address 1g09 Street �9rH 5T <br />Apartment No City <br />State Zip sezo� <br />Subdivision <br />Phone No ( q25 ) 339d123 Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 1g09 Street �9TH ST <br />From Cross Street <br />To Cross Street <br />City <br />Subdivisfon Map Book <br />Problem SEWER SEWER <br />SubProblem SS S/DESEWER <br />Requested By HSR HOFFMAN, STEVEN R. <br />Agency <br />Initiated From aueLic PUaLic <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />C�eW SCONST SEWER CONSTRUCTION(AHLES) <br />Contractor <br />Assigned To SR SIERRA, RAM110N <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Date ennoos To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Customer ld <br />Change Map Y/N <br />Zip 9s2ot <br />Priority <br />0 <br />Page 1 <br />9/19/2005 11:00 <br />Activity 6�s <br />Status �� <br />Map Reference <br />Date Requested eivzoos <br />Related Request 00049gie <br />Expiralion Date <br />Estimated Hours <br />RECORDS <br />SEP 2 91005 <br />Action iaken REPLACED 6' OF SIDESEWER AND PUT IN CLEAN OUT AT PROPERTY LINE. MARKED WITH <br />IRON. <br />Completed By srt SIERRA, RAMON Job Cosl Information(YIN) <br />Start Date i r Time Date Completed <br />8/23I2005 Time <br />Approved By r — -- <br />. ollow Up? Permit No <br />