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Work Activity Work Order P��� ' <br /> 3'14/:013 13:20 <br /> ISSUed By GCR GRENZNER,CHRIS R. <br /> Isa:ied Department Pw PUBLIC WORKS <br /> Date Iss��ed smizota <br /> Fund eo� Account e Program »o Function �09 Activity 676 <br /> Program <br /> TIiIQ REPAIR 4717 CARLTON RU 7101096'i 5 <br /> WOfk OfdB�!v0 Z��3099� PIOJBCt Activity Type SERVICE REOUES7 StelUS CL <br /> StaWs 5�nrzo�a Time o83o Original WO Billing <br /> Customer Iniormatlon Customer ld <br /> Customer Name TAYLOR,JOEL <br /> Address 4717 Sif02I CARLTON RD <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No 1 a25 1 ate-nea Ext ___ _— <br /> Second Phone ( azs ) as7-a�zs Ext <br /> E-Mail Address - <br /> Problem Informatfon <br /> Address 47�� Street CARLTON RD <br /> From Cross Slreet <br /> To Cross Street <br /> City 7i�' <br /> Subdivision Map Book Iv1ap Re(erence <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requesled By HSR HOFFMAN.STEVEN R DBIE RBqU2Sl2d 41241201: <br /> Agency Related Request oottee�s <br /> Initiated From PUBLIC Pueuc <br /> Utility Locate(USA) No »���one Cailed Date Expiration Date <br /> Assignment Information <br /> Dept PW PUBLIC WORKS Priority Estimated Hours <br /> Crew SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To OBS OLHAVA, BRAD 5 <br /> Assigned By GCR GRENZIIER.CHRIS R <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Schedule�l Time <br /> Route Route Sequence <br /> Comments <br /> Actlon Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE. <br /> Recommended Actlon REPAIR SIDE SEWER <br /> Approved By oes OLNAVA.BRAD 5 Job Cost Informalion(YIN) <br /> Start Date i i Time Date Completed 5izsizo�a __ Permit No _ <br /> Completed By Time Follow Up? _ _. <br />