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Work Activity Work Order <br />ISSUed By OBS OLHAVA, BRAD S. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 9/28I2015 <br />Fund ao� Account 5 Program ��o Function �09 <br />Program <br />Title REPLACE 4224 RUCKER AVE 710109674 <br />Work Order No 20152123 Project Activity Type SERVICE REQUEST <br />Status 9/28/2015 Time �z:�2 Original WO Billing <br />Customer Information <br />Customer Name coe <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 4224 Street RUCKERAVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem MAIN MA/NS <br />Requested By oBs OLHAVA, Bw�,� s. <br />Agency <br />Initiated From INTER INTERNAL <br />Utility Locate (USA) No 15285647 Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Cf@W SCONST SEWER CONSTRUCTION (OLHAVA) <br />Contractor <br />Customer ld <br />Change Map Y/N <br />Page 1 <br />7/18/2016 10:51 <br />Activity s�a <br />Status c� <br />Zip <br />Map Reference <br />Date Requested 1/27/2015 <br />Related Request 00137847 <br />Expiration Date <br />Priority Estimated Hours <br />Assigned To LBM LESTER, BRIAN M. <br />Assigned By OBS OLHAVA, BRAD S. <br />Assigned Date ___.__ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments INVENTORY MATERIAL ►N THE AMOUNT OF $1,940.49 WAS ' <br />JOURNALIZED IN 2015 <br />Action Taken REPLACED SEWER MAIN FROM SMH3195A01 TO SMH3195H01 WITH 8" PVC. <br />Recommended Action REPLACE SEWER MAIN 42ND TO 43RD <br />Approved By LBM LESTER, aRiArv nn. Job Cost Information(Y/N) <br />_ __ - — - --- - --- --- -------- <br />Start Date i i Time Date Completed 10/27/2015 Permit No <br />