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Issued By oas <br />Issued Department Pw <br />Date Issued ��2sno�s <br />Fund ao� <br />Program <br />Work Activity Work Order <br />OLHAVA, BRAD S. <br />PUBLIC WORKS <br />Page 1 <br />9/14/2016 14:10 <br />Account 5 Program ��o Function �os Activity s�5 <br />Title REPLACE 1314 26TH ST 710109675 <br />Work Order No 20160309 Project Activity Type SERVICE REQUEST <br />Status 1/25/2016 Time o�:z5 Original WO Billing <br />Customer Information <br />Customer Name LAPINSKI, RICK Customer ld <br />Address 1314 Street zsTH sT <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( a25 ) 330-7773 Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 1314 Street 26TH ST <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem SEWER SEWER <br />Sub Problem SS S/DE SEWER <br />Status c� <br />Requested By DRA DURRANT, ROGER A Date Requested 11/30/2015 <br />Agency Related Request 00147816 <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No �soososs Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />CI'@W SCONST SEWER CONSTRUCTION (OLHAVA) <br />Contractor <br />Assigned To oas OLHAVA, aRa� s. <br />Assigned By <br />Assigned Date _ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPLACED LATERAL MAIN TO PL. INSTALLED C/O @ PL. CONNECTED DOWN SPOUT TO <br />LATERAL DOWNSTREAM OF C/O. PREP FOR ASPHALTlCONCRETE. <br />Recommended Action REPLACE SIDE SEWER FROM MAIN TO PROPERTY LINE. <br />Approved By IJM IMHOF, �AnnEs nn. Job Cost Information(Y/N) <br />Start Date i � Time Date Completed �i2si2o�s Permit No <br />Completed By Time Follow Up? <br />