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� <br /> Wor6c Activity Work Order ` ''3' ' <br /> iz-i�::���;�. �ia:ae <br /> ISStICd BY AGA AHLES,GREGORY A. <br /> Issued Department pw PUBLIC WORKS <br /> Dale Issued Bnz�2aDs <br /> Fund nai Accounl s Program �to Funa, � �og Actiwly ets <br /> Program <br /> TiUe REPLACE 2110 COLBY AVE 770109675 <br /> Work OrdCE NO 2��924z� PrOJeCt ACliVily TypC CORRECTIVE MAINTENANCE Slal�s CL <br /> S�alus envzoos Time te:2t Original WO Billing <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address z�to Sheel Co�avnvE <br /> Apartment No Cily <br /> Slale Zip <br /> Subdivision Change Map YIN <br /> Phone No l 1 - Exl <br /> Second Phone ( ) - Exl <br /> E-Mail Address <br /> Problem Information <br /> Address y71p Stmet COLBYAVE <br /> from Cross Slreet <br /> To Cross Streel <br /> c�ry z�� <br /> Subdivision Map Book Map Reference <br /> Probiem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested 8y Dale Requested <br /> Agency Related Request <br /> Initialed From <br /> Ulilily Locale (USA)No 3189J66 Called Date Expiration Dale <br /> Assignment Infonnation <br /> Depl Pw PUBLIC WORKS Priority Estimaled Hours <br /> CfCw SCONST SEWER CONSTRUCTION(AHLES) <br /> Conlraclor <br /> A55ignCd TO NCR NIETHAMER,CHARLES R. <br /> A55igned By AGA AHLES,GREGORY A. <br /> Assigned Date To Be Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE.CLEAN OUT AT PROPERTY LINE. <br /> RCGortlnlCndCd ACtfOn REPLACE SIDE SEWER FROM MAIN TO P!L <br /> AppfOVCCI By NCR NIETHAMER,CHARIES R. JOb COSI Ifl(Of�i1060f1�Y/N) <br /> Start Date � � Time Date Completed 7onsnooe Permit No <br /> Completed By Time Follow Up? <br />