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Work Activity Work Order <br />ISSU@d By OBS OLHAVA, BRAD S. <br />Issued Department aw PUBLIC WORKS <br />Date Issued 2/19/2016 <br />Fund ao� Account 5 Program ��o Function �23 <br />Program <br />TItl2 REPLACE 3501 HOYT AVE 710123671 <br />Work Order No 20160559 Project Activity Type SERVICE REQUEST <br />Status 2/19/2016 Time os:a2 Original WO Billing <br />Customer Information <br />Customer Name CITIZEN <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 Street 35TH ST <br />From Cross Street HOYT AVE <br />To Cross Street COLBYAVE <br />City <br />Subdivision Map Book <br />Problem DRAIN DRAINAGE <br />Sub Problem CB'S ALL CB EXCEPT CLEAN <br />Requested By MCL1 MALLAND, CHAD L. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Ct'2W SCONST SEWER CONSTRUCTION (OLHAVA) <br />Contractor <br />Assigned To IJM IMHOF, JAMES M. <br />Assigned By oBs OLHAVA, BRa� s. <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPLACED CATCH BASIN WITH NEW. <br />Recommended Action REPLACE CB <br />Customer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Page 1 <br />9/22/2016 10:46 <br />Activity s�� <br />St2tUS CL <br />Date Requested 2/11/2016 <br />Related Request o0�5o2�s <br />Expiration Date <br />Priority � Estimated Hours <br />?� �*� '� �'� �_.., �'�i <br />Approved By oas OLHAVA, ar�n� s. Job Cost Information(Y/N) <br />Start Date i � Time Date Completed 3/15/2016 Permit No <br />Completed By Time Follow Up? <br />