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V11ork Activity Work Order �'=` � <br /> 5/"<�/2Ci3 i5:45 <br /> ISSU2d By AGA AHLES,GREGORY A. <br /> Issued Department Pw ausuC woRKs <br /> Date Issued eiat2ou <br /> Fund aot Account 5 Program »o Function tos Activity s�5 <br /> Program <br /> TItlB REPLACE 1732 COLBY AVE 770109675 <br /> WOfk �fd0f NO 20121774 PfOJ@Cl Activity Type CORRECTIVE fdAINTENANCE Sf8tU5 CL <br /> Status e�a'zo�z Time os:5o Originai WO _ _ _8illing _ _ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address tta2 StreetCo�evnve <br /> Ppartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No f 1 - Ext __ _ _ _ _ _ __ <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �732 Stree COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> 5ubdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By Date Requested <br /> Agency <br /> Related Request <br /> indiated From <br /> Utiliry Locate(USA) No �2�ssso� Called 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 oes OLHAVA,BRAD S. <br /> Assigned By A�A AHLES,GREGORYA. <br /> Assigned Date ____ To Be Comp Date <br /> Scheduled Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments INVENTORY MATERIAL IN THE AMOUNT OF 5799.84 WAS JOURNALIZED <br /> IN 2012 <br /> Rction Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE. <br /> ReCOR1rtICfld@�ACtIOtl REPLACE SIDE SEWER FROM MAIN TO P/L. NEJJ STATIONING ON MAIN <br /> Approved By oes o�H�vn,ewro s. Job Cost Information(Y/N) _ <br /> Start Date � � Time Date Completed gI9I2012 Permit No <br />