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11Vork Actrvity Work Qrd�r Pac,e � <br /> - G/5/2006 7:29 <br /> Issued By AGA lJilES,GREGORY A. <br /> Issue� Departmeniaw PUBLICWORKS <br /> Date Iseued s�srzoos <br /> Fund qa� Account s Prograin 7�o Function �za Activity 6» <br /> Program <br /> TiUe INSTALL Ft916 5TH AVE W 710123671 <br /> �rk Order No 20061061 PfOJeCI Activity Type COR;ECTIVE MAINTENANCE SfBfUS PR <br /> Uate 615/2006 TifT1C 0723 O�191n21 WO BIIIIfI� <br /> Customer Information <br /> Customer Name Customer ld <br /> Address 8916 SIfBBi 5TH AVE W <br /> Aparl�nent No City <br /> State Zip ' <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext --._ <br /> E-Mail Address <br /> Problem Information <br /> Address gg�g Sireet 5THAVEW <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map Bcok Map Reference <br /> Problem DRA/N OF'AINAGE <br /> Sub Problem CB'S A�L CB EXCEPT CLEAN <br /> Reques!ed By Date Requested <br /> Agency Related Request <br /> Ini�ia�eci From <br /> Uti!ity Locala (USA) No 5neo�2 Called Date Expiration Date <br /> ^,ssignment Information <br /> Depl Pw PUBLIC WORKS Priorily Estimated Hours <br />� CfBW SCONST SEWER CONSTRUCTION(AHLES) <br /> COf1�f�ClOf <br /> Assigned To AAL ARNOLD, ARTF{UR L. <br /> AssignedBy AGA AFILES,GREGORYA. <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken ��s f`�� C '� �S� <br />