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Work Activity Work Order <br />Page 1 <br />s/zs/2oiz iz:o9 <br />ISSUBd By AGA AHLES, GREGORY A. <br />Issued Department vw PUBLIC WORKS <br />Date Issued a�zS�Zo�2 Activi s�t <br />Fund ao� Account5 Program �to Function t23 �Y <br />Program <br />Tlfl@ INSTALL 4414 FEDERAL AVE 710123671 <br />YOi2OBOO PfOjeC� Activity Type SERVICE REQUEST SietU3 CL <br />Work Order No Billin <br />Status 4I2512012 Time orss Original WO 9 <br />Customer Infortnation <br />Customer Name v�nrsoe, vicKi <br />Address 4474 StfBEt FEDERALAVE <br />Apartment No Ciry <br />State Z�P <br />Subdivision <br />Phone No � a2s ) 783•0203 Ext <br />Second Phone ( ) - Ext <br />E-Meil Add�25s w.witsoe�comcast.net <br />Problem Information <br />Address qq�q Street FEDERAL AVE <br />From Cross Street <br />To Cross Streat ZiP <br />City <br />Subdivision Map Book <br />Problem DRAIN DRAINAGE <br />Sub Problem DL DRAIN LINES <br />Requested By HSR HOFFMAN, STEVEN R. <br />Agency <br />Initiated From PUBLI�: PUBLIC <br />Utility Locate (USA) No 12063535 Called Date <br />Assignment Infortnation <br />Dept PW PUBLIC WORKS <br />Cf2W SCONST SEWER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned To IJM �MHOF, JAMES M. <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 Y/N <br />Map Reference <br />Date Requested ar�oi2o�2 <br />Related Request ao�oetto <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken INSTALLED CB-15 AT SOUTH END OF PROPERTY. RAN 8" PVC TO NORTH CB. PREP FOR <br />ASPHALT. <br />ROCORlti1e11d2d ACtiOfl INSTALL CB AND DR41N LINE IN FRONT OF ADDRESS <br />Approved By IJM IMHOF_JAMES M. JOb COS� II1fOfrt18ilOf1(YIN) <br />Time Date Completed s�U2ot2 Permit No <br />Start Date � i -- <br />Completed By Time Follow Up? <br />