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� � ����1?�� � �A�� � <br /> Work Activity Work prder P39e 1 <br /> 10/30/2013 15:35 <br /> Issued By GCR GRENZNER,CHkIS R. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date issued 412512011 <br /> Fund ao� Account 5 Program �to Function ios Activity e�a <br /> Program <br /> TIflB REPAIR 6416 ELLIOTi WAY 710109674 <br /> VVork Order No 20133083 PfOJ@C� Activity Type CORRECTIVE MAINTENANCE Sf81U5 CL <br /> Status 9/25/2013 Time or.zs Originat WO _ __ Bill�ng _ ___ _______ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) • Ext _ _ ___ <br /> Second Phone l ) - Ext <br /> E-Mail Address ______--__ -- <br /> Problem Information <br /> Address 6415 Street ELLIOTTWAY <br /> From Cross Street pALfvi AVE <br /> To Cross Street <br /> Ciry Zip <br /> Subdivision Map Book Map Refarence <br /> Problem SEWER SEWER <br /> Sub Prablem MAIN MAINS <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utilit� Locate (USA) No 1az�aszs Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Prioriry Estimated Hours <br /> C�6W SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> ASSIgf1Ed TO IJM IMHOF,JAMES M. <br /> Assigned By GCR GRENZNER.CHRIS R. <br /> Assigned Date To 8e Comp Date __ __ <br /> Scheduled Date ___ Scheduled Time __ _ <br /> Route koute Sequence <br /> Comments <br /> Action Taken NO DAMAGE AT MAIN. <br /> R0C0(11R10tl(18d ACtlOfl REPAIR SEWERMAC� <br /> Approved By GCR GRENZNER,CHRIS R. JOb COSI IflfOffT18fI0f1(YIN) <br /> Start Date � � Time Date Completed 913 012 01 3 Permit Ne _ <br /> Completed By _ Time __ Follow Up7_ _ <br />