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Work Activity Work Order Page 1 <br />_ 11/2/2010 15:02 <br />Issued By AGA AHLES, GREGORY A. <br />Issued DepartmentPw PUBLIC WORKS <br />Date Issued 1019/2010 <br />Fund 401 Accounts Program 710 Function tog Activity 675 <br />Program <br />Title REPLACE 2604 BAKER AVE 710109675 <br />Work Order No 20102552 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Status 10I9I2010 Time 10.29 Original WO Billing <br />Customer Information <br />Customer Name Customer Id <br />Address 2604 Street BAKER AVE <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( ) Ext <br />Second Phone ( ) Ext - - - --- - <br />E-Mail Address <br />Problem Information <br />Address 2604 Street BAKER AVE <br />From Cross Street <br />To Cross Street <br />City Zir. <br />Subdivision Map Book Map Reference <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utility Locate (USA) No 10_14091 Called Date Expiration Date <br />Assignment Information <br />Dept PW PUBLIC WORKS Priority Estimated Hours <br />Crew SCONST SEWER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned To LIM IMHOF, JAMES M. <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 INSTALLED 8X6 WIE @ MAIN, RAN 6" TO PL REDUCED TO 4". CAPPED CLEANOUT W/CAP <br />METAL. BACKFILLED W 618 GRAVEL AND COMPACTED. <br />Recommended Action REPLACE SIDE SEWER FROM MAIN TO PIL AND INSTALL CLEAN OUT AT PROP LINE <br />Approved By IMJ Job Cost Inrormation(Y/N) <br />------- ---- <br />tart Date I I- Time Date Completed 1v1onolo Permit _N_o__ <br />Completed By Tire FOIIDW Up? <br />