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��� ���7 j� a-�-��y�� �c <br /> Page 1 <br /> Work Activity Work Order ,Z„l,Zo,z 8:45 <br /> Issued By AGA AHLES,GREGORY A. <br /> Issued DepartmentPw PUBIICWORKS <br /> Date Issued g��2o�� Function �oe Aclivity 876 <br /> Fund �o� Accounl 6 Program tto <br /> Program <br /> TItIB REPAIR 4777 CARITON R0 710109675 <br /> Work Order No 20122026 Projecl Activity Type SERVICE REOUEST Status c� <br /> StaWs amzo�z Time os 5n Original WO Billing <br /> Cuatomer Informatlon Customer ld <br /> Customer Name TAYLOR,JOEL <br /> Address 4717 SIfBBI CARLTON RD <br /> Apariment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( e�s > �zt�a�2s Ext <br /> Second Phone c � - Ext <br /> E-Mail Address <br /> Problem Informatlon <br /> Address 4717 S ree CARLTON RD <br /> From Cross Stre� <br /> QCross Streej Zip <br /> Ciry Ma Book Map Reterence <br /> Subdivision p <br /> roblem SEWER SEWER <br /> Sub Problem SS SIDE SEWER Date Requested s��no�2 <br /> Requested By HSR HOFPMAN,STEVEN R. <br /> Related Request oo��z7to <br /> Agency <br /> Initiated From Pueuc PUBLIC Called Date Expiration Date <br /> Utility Locate (USA) No <br /> pasignment Information Priority Estimated Hours <br /> Dept Pw PUOLIC WORKS <br /> CfBW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To IJM IIAHOF.JAMES M <br /> Assigned By A�A AHLES,GREGORY A <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Actlon Taken E%CAVATED CAVE•IN TO 10 FEET DEEP.NO PROBlEMS FOUND.POOR COMPATION AND lOOSE <br /> MATERIAL.BACKFILLED,TAMPED AND ASPHALTED. <br /> Recor mended Action <br /> Approved By IJM IMHOF,JAMES M JOb COSf If110ff112U0f1(Y/N) <br /> Start Date � � <br /> Time Oate Compleled enano�z Permit Nc <br /> Completed By Time Follow Up? <br />