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Work Activity Work Order Page 1 <br /> iz/za/zoii e:io <br /> ISSUOd By AGA AHLES,GREGORY A. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued sisizo�t <br /> Fund ao� Account 5 Program �to Function �oe Activity 675 <br /> Program <br /> TitIB REPL,ACE 2507 FULTON ST 710109675 <br /> Work Order No 20110733 Project Activity Type sERwCe REouEST Status c� <br /> Status s�sizo�� Time to:3s Original WO Billing _ <br /> Customer Information Customer ld <br /> Customer Name MILLER,GLEN <br /> Address 250� Street Pu�roN sT <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( azs ) 923-4119 Ext — <br /> Second Phone ( ) - Ext <br /> E-Mail Address -- <br /> Problem Information <br /> Address 2507 Street FULTON ST <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem Date Re uested aizy2o�� <br /> Requested By GMA1 GOGAL,MARJORIE A. R218t0d R0qU0S1 00097848 <br /> Agency <br /> Initiated From PUBLIC PUBLIC Ex iration Date <br /> Utiliry Locate (USA) No t�oaoe�o Called Date P <br /> Assignment Information Priorit Estimated Hours <br /> Dept PW PUBLIC WORKS Y <br /> Cf2W SCONST SEWERCONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date _ To Be Comp Date _ __ <br /> Scheduled Date __ Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken REPIACED SIDE SEWER FROM MAIN TO PROPERTY LINE WITH 61NCH PVC.PERMIT#0076. <br /> RBCOfllti7¢fldBd AC�IOII REPLACEW SIDE SEWER FROM MAIN TO PIL <br /> Approved By oes o�HnvA,BRao s. Job Cost Information(Y/M) <br /> Start Date � � Time __ Date Completed �omi2o�t____. Permit No <br /> Completed By -- -_ -_--,-- - Time _ Follow U;:?_ -- <br /> � <br />