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Work Activity Work Order pa9e 1 <br /> 1o/2a/zoio 9:a1 <br /> ISSl10d By AGA AHLES,GREGORY A. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued 912812010 <br /> Furd aot Account 5 Program ��o Function �09 Activity 675 <br /> Program <br /> Title REPLACE4027FOWLER710709675 <br /> Work Order No 20102519 PfOJ2C� Activity Type CORRECTIVE MAINTENANCE $t31U5 CL <br /> Status 9nsnoto Time io:3e__ Original WO _____Billing___ __ <br /> Customer Information Customer ld <br /> Customer Name <br /> Address 4827 SIfEO� FOWLERAVE <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 Iniormatian <br /> Address 4821 Street FOWLER AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER Date Re uested <br /> Requested By CDD CHASE,DOUGLAS D. 4 <br /> Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utiliry Locate(USA) No �ozte3os Called Date P <br /> Assignment Information <br /> Dept PW PUBLIC WORKS Priority Estimated Hours <br /> C�@W SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To oes OLHAVA,BRAD S. <br /> ASSigned By A�A AHLES.GREGORY A. <br /> Assigned Date To Be Comp Dale _ ___ <br /> Scheduled Date Scheduled Time <br /> Route Ro��te 3equence <br /> Comments <br /> Action Taken REPLACED SI�E SEWER FROM MAIN TO PROPERTY LINE. <br /> Recommended Action REPLACE SIDE SEWER FROM MAIN TO P/L <br /> Approved By oss o�rwvA,ew�.o s. Job Cost Information(Y/N) <br /> Start Date � i Time Date Compieted erooim�o Permit No _ <br /> CompletedBy_ ___ _ _ Time __ FollowUp? <br /> IZ <br />