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Fund No. <br />City of Eugen <br />//�.t �� TLt :' / / 7EX� TN�e <br />Division No. <br />DEPARTMENT OF PUBLIC WORKS <br />Program No. <br />858 PEARL STREET <br />EUGENE, OREGON 97401 <br />A`'' <br />N- 0403 <br />Area <br />r � <br />W.O. Job No. <br />- <br />Job Type <br />COMPLAINTS AND REQUEST FOR SERVICE <br />Date r i <br />Completion Requested By <br />� f <br />Date <br />To <br />Department or Dwtsion <br />r Y <br />tn <br />1731 <br />w . 7. <br />From <br />,. <br />_ <br />Name Address <br />Phone <br />Received By <br />A/ <br />N De partment <br />e p <br />&d' <br />/ / L� 0/ a C ALU AY �� <br />f �/1��r�• <br />Request 10i <br />Work Completed By vale <br />//�.t �� TLt :' / / 7EX� TN�e <br />Comment : <br />ZG <br />r � <br />- <br />� f <br />r <br />r Y <br />tn <br />w . 7. <br />_ <br />