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���fr�; ������-�� ti�[��fl l� ll,!�L�`5 <br /> Work Activity Work Order `'�9° 1 <br /> 5/17/2014 13:93 <br /> � -- --- - - ---._ .. _. . - - --- —_ . . __ <br /> ISSUCd By GCR GRENZNER,CHRIS R. � <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued vzo�zo�a <br /> Fund 4oi Account 5 Program �tp Function tpe Activity 6t5 <br /> Program <br /> T�tle REPAIR 2214 �ROADWAY 710109675 <br /> Work Order No 20140487 Project Activiry Type SERVICE REQUEST Status c� <br /> Slalus v2oizota Time oe z� Original WO Billing <br /> Customer In(ormation <br /> Customer Name HALE,MIKE �ustomer ld <br /> Address Street <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 y114 Street BROADWAY <br /> From Cross Street <br /> To Cross Slreel <br /> Ciry Zip <br /> Subdivision A�1ap Book Map Reference <br /> Problem SEIh�ER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By NMP HAI.E,M�CHA[L P, DaIC RCqUeS12d 112212G14 <br /> Agency Related Request oot�»zs <br /> Initialed F�Om INTER INiERN/1L <br /> Utility Locale (USA) No 14025023 Called Date Expiralion Date <br /> Assignme�t Information <br /> Dept rw PUOLIC WOFiKS Priority Estimaled Hours <br /> CfCW SCOIJSi SEWER CONSTRUCTION(GRGNZNER) <br /> CoNractor <br /> Assigned To MGD MAGALLANES,GL-FiARDO D. <br /> ASSlgned By GCR G12FN7NFR,CNRIS R. <br /> Assigned Date _ To Be Comp Date _ <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken SINK HOLES,SUCKED DOWN TO MAIN.NO STAND PIPE.FOUND JOINT IN PIP[AND PUi <br /> CEMENT OVER IT. OACK FILLED AND COMFACTED. <br /> RCCOR1fi1Ci7dCd ACt1011 RfPAIR SID6 SEWER <br /> Approved By GCR GR[NZNER,CHRIS R JOb COS► Ifl(Off112tI0fi(Y/N) <br /> Start Dale r � Time Date Completed y2�izota Permit No <br /> Completed �y Time Folluw Up? <br />