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Issued By acn <br />Issued DepartmentPw <br />Date Issued ta�azo�� <br />Fund qot <br />Program <br />Work Ar.tivity Work Order <br />AHLES, GREGORY A. <br />PUBLIC WORKS <br />Page 1 <br />12/28/2011 8:30 <br />Account s Program �to Function toe Activiry fi�t <br />TitIE REPLACE 5627 COLBY AVE 710109671 <br />Work Order No 20112392 Project Activity Type SERVICE REQUEST <br />Status �a�arzoi� Time ts:�a OriginalWO Billing <br />Customer informatfon <br />Customer Name AMBER <br />Address S�f02L BEVERL'I BLVD <br />Apartment No City <br />State ZiP <br />Subdivision <br />Phone No ( a25 ) aaaaoel Ext <br />Second Phone ( ) - Ext <br />E-Mail AAdress <br />Probiem Information <br />Address Stree BEVERLYBLVD <br />Customer ld <br />From Cross Street <br />To Cross Street <br />Ciry Zip <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem R8L RlNG AND LIDS <br />Requested By CBA CLEMANS, BRUCE A. <br />.4gency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No Called Date <br />Ass(gnment Information <br />Dept Pw PIIBLIC WORKS <br />Crew SCONST 5[WER CONSTRUCTION (AHLES) <br />Contractor <br />AsSigned TO OBS OLHAVA, DRAD S. <br />Assigned 8y AGA AHLES, GR[GORY A. <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action i aken REPLACED SEWER RING AND LID. <br />Change Map Y/N <br />Map Reference <br />SL3IU5 CL <br />Date Requested tonvzo�i <br />Relaled Request ooiozst5 <br />Expiration Date <br />Priority Estimated f-lours <br />R@Comf110fIdCd ACti011 REPLACE RING AN� lID <br />Approved By oes oLHnvA, ew+o s. Job Cost Information(Y/N) <br />Start Date � i Time Date Completed ttivm�t Permit No <br />Completed By Time Follow Up? <br />Y <br />