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Work Activity Work Order Pa9e 1 <br /> iz/ze/zou e:z� <br /> ISSUBd By � A6A AHLES,OREGORY A. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued e�aixott <br /> Fund �ot Account e Program »o Function �Z� Activity e�t <br /> Progr:,m <br /> TIIIC REPLACE 412 ALVERSON BLVD 710129871 <br /> Work Order No 20111474 Project Activiry Type SERVICE REOUEST Status c� <br /> Status eianoi� Time t5:5z __ Original WO ___ Billing__ __ _ <br /> Cuatomer Infortnation <br /> Customer Name vANce,AL Customer ld <br /> Address ��z Slfee� ALVERSON BLVD <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( �t6 ) aoa-eeet Ext _ _ <br /> Second Phone ( ) • Ext <br /> E-Mail Address — <br /> Problem Infortnatlon <br /> Address ♦}y �e ALVERSON BLVD <br /> EQm Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map 800k Map Reference <br /> ro I DRAIN DRAINAGE <br /> Sub Problem CB'S ALL CB EXCEPT CLEAN <br /> R2qUeStBd By HSR HOFFMAN,STEVEN R. Re ated R@qU@St '0009YYOe <br /> Agency <br /> Initiated From PUBLIC PUBLIC <br /> Utiliry Locate(USA) No �1167797 Called Date Expiration Date <br /> Aaeignment Intormatlon <br /> Dept vw PUBLIC WORKS Priority Estimated Hours <br /> CfeW SCONST SEVJER CONSTRUCTION(AHLES) <br /> Contracror <br /> Assigned To oes OLHAVA,BRAD S. <br /> Assigned By aGA AHLES,GREGORY A. <br /> Assigned Date To Be Comp Date ___ <br /> Scheduled Date __ _ . _ Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED OLD CA7CH BASIN AND FRAME AND 6RATE WITH NEW. <br /> Recommended Action REPIACE CB <br /> Approved By oes o�Hnvn,er�o s. Job Cost Information(YIN) <br /> Start Date � i Time _ __ ___ _ Date Completed �yvso�t _ Permit No _ <br /> Completed By Time Follow Up7_ ___ <br /> � <br />