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Work Activity Work Order Pa9e 1 <br />12/11/2012 8:55 <br />ISSUBd By AGA AHLES, GREGORY A. <br />Issued Department aw PUBLIC WORKS <br />Date Issued a�2vzotz <br />Fund aot Account a Program »o Function �oe Activiry s�s <br />Program <br />Title REPLACE 57 t0 COLBY AVE 710109675 <br />WO�k Ofdef NO 20120582 PfOjOCf Activity Type CORRECTIVE MAINTENANCE SfatuS CL <br />Status arzinot2 Time or5o Original WO __ _ _____ __ 8iiling <br />Customer Intormation <br />Customer Name <br />Address 51�o Street COLBYAVE <br />Apartment No City <br />Stale Z�P <br />Subdivision <br />Phone No ( i - Ext <br />Second Phone ( 1 • Ext <br />E-Mail Address <br />Problem Information <br />Address 5110 S ree COLBYAVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />Requested By <br />4gency <br />Initiated From <br />Utility Locate (USA) No Called Dale <br />Assignmcnt Information <br />DOpI PW PUBi IC WORKS <br />C�CW SCONST SEVJER CONSTRUCTION (AHLES) <br />Contractor <br />A55ignCd TO HDC HJORT, DALE C. <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 />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Prioriry Estimaled Hours <br />Action Taken REPAIR SIDE SEWER FROM PROPERTY LINE TO MAIN. PUT IN 61NCH CLEAN OUT. <br />Recommended Action REPIACE SIDE SEWER AND INSTALL CLEAN OUT <br />Approved By oes o�Hnvn, ew+o S. Job Cost Information(Y1N) <br />Start Date i I Time Date Compieted eneno�z Permit No <br />Completcd Sy Time Foliow Up? <br />