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Work Activity Work Order <br />ISSUBd By AGA AHLES, GREGORY A. <br />Issued Department Pw PUBLiC WORKS <br />Date Issued tnaizot2 <br />Fund 40� Accounts Program ��o <br />Program <br />� � INSTALL 5708 EAST OR 710123673 <br />Function 121 <br />Tit e <br />Work Order No 20120246 Project Acti�ity Type SERVICE REQUEST <br />Status �n3no�z Time �5�52 Original WO Billing <br />Customer Information <br />Customer Name BANKS, ADRIAN <br />Address s�oe Street �,sr oR <br />Apartment No ��ry <br />State Z�P <br />Subdivision <br />Phone No ( a2s ) �53-8163 cxt <br />Second Phone ( 1 - Ext <br />E-Mail Address <br />Problem Information <br />Address 5706 Street EAST DR <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Booh <br />Probiem DRAIN DRAINAGE <br />Sub Problem CB'S ALL CB EXCEPT CLEAN <br />RequestedBy GMA1 GOGAL,MARJORIEA. <br />Agency <br />Initiated From Pusuc PUBLIC <br />U[ility Locate (USAj No �2oo2�te Called Date <br />Assignment information <br />Dept PW PUBLIC WORKS <br />CfeW SCONST SEWER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned To IJM IMHOF, JAMES M. <br />Assigned By A�A AHLES, GREGORY A. <br />Assigned Date To Be Comp Date _ <br />Scheduled Date <br />Route <br />Comments <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Page 1 <br />s/zs/zoiz i2:ie <br />�CiiViry 673 <br />Status c� <br />Zip <br />Map Refere�ce <br />Date Requested �v2y2o+� <br />Related Request ootoaesa <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken INSTALLED CB•17 AT 5620 EAST DRIVE. 6a 112' OUT AND 7' RIGHT OF LEFT. STUBBED <br />OUTFLOW NORTH TO DITCHIINE. PREPAIRED DRIVEWAY APRON FOR ASPHALT SLAB. <br />ROCOIT11T1811dBd AC�iOtl INSTALL DRAIN LINE WITH CB'S TO TAKE WATER OFF STREET <br />Approved By IJM IMHOF, JAMES M. JGb COSt I�fOff113G0�(Y/N% <br />Start Date i � Time Date Completed �tr2ot2 Pertnit No <br />Completed By Time Follow Up? <br />