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IlVork Activity Work Order �a=` 1 <br /> i�/<eizo�= ;:a5 <br /> — -- --- -- <br /> ISSUCd By � AGA � AHLES,GREGORY A. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued en�zott <br /> Fund ao� Account 5 Program »o Function ioe Activity 675 <br /> Program <br /> TitlO REPLACE Z714 COLBY AVE 770109675 <br /> Work Order No 2����84$ PfOJBCI Activity Type CORR[CTIVE MAINTENANCE S�at�S CL <br /> Status 6ivzo�i Time �s3o OriqinalWO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address 2��a Sif('2t COLBY AVE <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 p7�q 5treet COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map 800k Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No �t171237 Called Date Expiration Date <br /> Assignment Information <br /> Dept aw PUSUCwoRKS Priority Estimated Hours <br /> C�EW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To oss OLHAVA,BRAD S. <br /> Assigned By AGA AHLES,GREGORY'A. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Ac[ion Taken CONNECTED SIDE SEWER TO EXISTING 6"CONC.STUB AND RAN TO P.L C.O.C F:L. <br /> RCCOf17t11CI1C1Cd ACf1011 INSTALL CLEAN OUTAT PROP LINE AND RFPLACE SIDE SEWER TO MAiN <br /> Approved Ey OBS OLHAVA,BRAD S. Job Cost Information�YN) <br /> Start Date I I Time Date Completed ionerza�� Permit No <br /> -- - --- — <br /> Compieted By Time Follow Up7 _ __ _ _ � <br /> � <br />