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Work Activity Work Order <br />Issued By oBs OLHAVA, BRa� s. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1/8/2016 <br />Fund ao� Account 5 Program ��o Function �z3 <br />Program <br />Title REPAIR 615 80TH ST 710123671 <br />Work Order No 20160160 Project Activity Type SERVICE REQUEST <br />Status 1/8/2016 Time os:53 Ori4inal WO Billin4 <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 615 Street gOTH ST SW <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem DRA/N DRA/NAGE <br />Sub Problem CB'S ALL CB EXCEPT CLEAN <br />Requested By oBs OLHAVA, B�� s. <br />Agency <br />Initiated From OCD OTHER CITY DEPARTMENTS <br />Utility Locate (USA) No 15367188 Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Cf2W SCONST SEWER CONSTRUCTION (OLHAVA) <br />Contractor <br />Assigned To IJM IMHOF, JAMES M. <br />Assigned By oBs OLHAVA, B�� s. <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPAIRED TANK STRUCTURE, PREP FOR ASPHALT. <br />Recommended Action REPAIR TY II TANK <br />Customer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Page 1 <br />9/14/2016 8:53 <br />Activity s�� <br />Status c� <br />Date Requested 11/13/2015 <br />Related Request 00147159 <br />Expiration Date <br />Priority Estimated Hours <br />Approved By IJM IMHOF, �AnnEs nn. Job Cost Information(Y/N) <br />Start Date i i Time Date Completed 1/9/2016 <br />Completed By Time Follow Up? <br />Permit No <br />