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Work Activity Work Order page 1 <br /> iz�28<<o-i �:5a <br /> ISSUBd BY OBS OLHAVA,BRAD S. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued smizott Activi <br /> Fund ao� Account s Program �to Function �2a �Y e71 <br /> Program <br /> Title REPLACE 70500 EVERGREEN WAY 7 7 07 23671 <br /> Work Order No 20110959 PfOjeCt Activity Type CORRECTIVE MAINTENANCE S►BtUS CL <br /> Status e�z�izo�� Time oe:oe Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext _ <br /> Second Phone ( ) - Ext <br /> E-Mail Address -- <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book Map Reference <br /> Problem ORAIN DRAINAGE <br /> Sub Problem DL DRAIN LINES Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Prioriry Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To ��M IMHOF,JAMES M. <br /> Assigned By OBS OLHAVA,BRAD S. <br /> Assigned Date eiZ�ila�� To Be Comp Date _ <br /> Scheduled Date _ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED BROKEN F8G PREP FOR CURB AND ASPHALT.SECURED STEEL PLATF AND SIGNED. <br /> Recommended Action <br /> Approved By IJM IMHOF.JAMES M. JOb COS�I�fO�rt10t10f1(Y/N) <br /> Start Date � � Time Date Completed �oizanot� Permit No <br /> Completed By _ _ __ Time __ Follow Up? <br /> � <br />